Individual
MRS. DAPHNE TRACY FOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
849 VOLUNTEER DR STE 2, PARIS, TN 38242-5483
(731) 540-7075
(731) 227-2887
Mailing address
849 VOLUNTEER DR STE 2, PARIS, TN 38242-5483
(731) 540-7075
(731) 227-2887
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA229
TN
363AS0400X
Surgical Physician Assistant
PA229
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229
PA LICENSE
TN
01
—
3380640
MEDICAID GROUP
TN
01
—
3663231
MEDICAID
TN
Enumeration date
03/02/2006
Last updated
06/16/2023
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