Healthcare Provider Details

I. General information

NPI: 1902907124
Provider Name (Legal Business Name): WILLIAM A FOSTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 03/07/2023
Certification Date: 04/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 PERRY HILL RD
MONTGOMERY AL
36109-3725
US

IV. Provider business mailing address

215 PERRY HILL RD
MONTGOMERY AL
36109-3725
US

V. Phone/Fax

Practice location:
  • Phone: 334-272-4670
  • Fax:
Mailing address:
  • Phone: 334-272-4670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD26772
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number00026772
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: