MEDICARE: DR. ANTHONY MATTHEW FOLEY SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	047082	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043212731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY MATTHEW FOLEY SR. M.D.

Provider Business Mailing Address
First Line	:	594 S COLUMBIA AVE
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-9094
Country	:	US
Telephone Number	:	912-826-4057
Fax Number	:	912-826-2853

Provider Business Practice Location Address
First Line	:	594 S COLUMBIA AVE
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-9094
Country	:	US
Telephone Number	:	912-826-4057
Fax Number	:	912-826-2853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	10/20/2014

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Directions to “ DR. ANTHONY MATTHEW FOLEY SR. M.D.” Practice Location

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