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Individual

MR. DARRYL LYNN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3613 RAEFORD RD, FAYETTEVILLE, NC 28304-2113
(910) 483-0018
Mailing address
1840 OWEN DR, SUITE 103, BORDEAUX CENTER, FAYETTEVILLE, NC 28304-1633
(910) 223-7246

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-00668
NC

Other

Enumeration date
07/14/2008
Last updated
11/18/2009
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