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NPI Code Detail

MEDICARE: DR. CARSON JARED FOSTER MD

MEDICARE: DR. CARSON JARED FOSTER 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
1390200000XStudent in an Organized Health Care Education/Training Program
2208M00000XHospitalist Physician54161AL
3207Q00000XFamily Medicine PhysicianT-5168MS

General Provider Information

NPI Number : 1356082994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARSON JARED FOSTER MD
Provider Business Mailing Address
First Line : 2500 N STATE ST
Second Line :
City : JACKSON
State : MS
Zip : 39216-4500
Country : US
Telephone Number : 601-984-6800
Fax Number :
Provider Business Practice Location Address
First Line : 101 SIVLEY RD SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-4470
Country : US
Telephone Number : 256-265-3880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 06/09/2026

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Directions to “ DR. CARSON JARED FOSTER MD” Practice Location

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