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NPI Code Detail

MEDICARE: LEAH FOSTER DC

MEDICARE:   LEAH  FOSTER  DC
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
1111N00000XChiropractor4510NC

General Provider Information

NPI Number : 1679961437
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH FOSTER DC
Provider Business Mailing Address
First Line : 173 JONESTOWN RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27104-4616
Country : US
Telephone Number : 336-283-8670
Fax Number :
Provider Business Practice Location Address
First Line : 173 JONESTOWN RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27104-4616
Country : US
Telephone Number : 336-283-8670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2015
Last Update Date : 02/18/2016

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Directions to “ LEAH FOSTER DC” Practice Location

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