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NPI Code Detail

MEDICARE: MICHELLE LYNETTE FOSTER MD

MEDICARE:   MICHELLE LYNETTE FOSTER  MD
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
1207R00000XInternal Medicine Physician200300470NC

General Provider Information

NPI Number : 1184649089
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LYNETTE FOSTER MD
Provider Business Mailing Address
First Line : PO BOX 60447
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-0447
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1995 WELLNESS BLVD STE 110&210
Second Line :
City : MONROE
State : NC
Zip : 28110-7769
Country : US
Telephone Number : 704-384-1140
Fax Number : 704-384-1141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 04/12/2023

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Directions to “ MICHELLE LYNETTE FOSTER MD” Practice Location

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