MEDICARE: WHITNEY LAUREN FOSE 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
1	174N00000X	Lactation Consultant (Non-RN)	L315854	GA
2	208000000X	Pediatrics Physician	92861	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1194867713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY LAUREN FOSE MD

Provider Business Mailing Address
First Line	:	1768 GRAND OAKS DR
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4805
Country	:	US
Telephone Number	:	630-276-9212
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 WEATHERSTONE PKWY STE 210
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-4497
Country	:	US
Telephone Number	:	470-203-0006
Fax Number	:

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

Provider Enumeration Date	:	02/12/2007
Last Update Date	:	03/11/2026

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Directions to “ WHITNEY LAUREN FOSE MD” Practice Location

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