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NPI Code Detail

MEDICARE: DR. JAMES GRANBURY FOSTER III MD

MEDICARE:  DR. JAMES GRANBURY FOSTER III 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
1208600000XSurgery Physician16468SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P01473433OTHERSCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871548412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES GRANBURY FOSTER III MD
Provider Business Mailing Address
First Line : PO BOX 100174
Second Line :
City : COLUMBIA
State : SC
Zip : 29202-3174
Country : US
Telephone Number : 864-512-6810
Fax Number : 864-224-1109
Provider Business Practice Location Address
First Line : 2000 E GREENVILLE ST STE 2500
Second Line :
City : ANDERSON
State : SC
Zip : 29621-1728
Country : US
Telephone Number : 864-512-6810
Fax Number : 864-224-1109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 12/01/2022

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Directions to “ DR. JAMES GRANBURY FOSTER III MD” Practice Location

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