Individual
DR. REX B FOSTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-0000
(678) 514-1991
(678) 514-1992
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
031424
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
031424
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000389804H
—
GA
05
—
00389804A
—
GA
Enumeration date
08/03/2006
Last updated
05/22/2013
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