MEDICARE: CRYSTAL HUNTER FOUST

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	363A00000X	Physician Assistant	0010-13893	NC

General Provider Information

NPI Number	:	1174384879
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRYSTAL HUNTER FOUST

Provider Business Mailing Address
First Line	:	2961 CROUSE LN UNIT A
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8833
Country	:	US
Telephone Number	:	919-710-8100
Fax Number	:	919-747-3999

Provider Business Practice Location Address
First Line	:	2961 CROUSE LN UNIT A
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8833
Country	:	US
Telephone Number	:	919-710-8100
Fax Number	:

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

Provider Enumeration Date	:	01/19/2024
Last Update Date	:	04/10/2026

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Directions to “ CRYSTAL HUNTER FOUST ” Practice Location

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