Individual
PATRICE M FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2591 CANDLER RD, DECATUR, GA 30032-6502
(678) 209-2710
Mailing address
237 COBBLESTONE LN, MCDONOUGH, GA 30252-6255
(177) 084-6264
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN164573
GA
163W00000X
Registered Nurse
RN521841L
PA
Other
Enumeration date
02/25/2010
Last updated
04/08/2013
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