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Individual

MARK W FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
17C BRENTSHIRE SQUARE, JACKSON, TN 38305-2273
(731) 664-1717
(731) 664-7114
Mailing address
17C BRENTSHIRE SQUARE, JACKSON, TN 38305-2273
(731) 664-1717
(731) 664-7114

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000141656
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000015280
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1524874
TN
Enumeration date
09/16/2008
Last updated
07/07/2022
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