MEDICARE: TEMITOPE YEWANDE 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
1	207R00000X	Internal Medicine Physician	43575	CT
2	207RG0100X	Gastroenterology Physician	65547	GA
3	207R00000X	Internal Medicine Physician	230178	NY
4	207RG0100X	Gastroenterology Physician	96099	CA
5	207RG0100X	Gastroenterology Physician	96328	SC

General Provider Information

NPI Number	:	1356538615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEMITOPE YEWANDE FOSTER MD

Provider Business Mailing Address
First Line	:	2675 N DECATUR RD STE 506
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-6134
Country	:	US
Telephone Number	:	404-299-1679
Fax Number	:	404-508-7558

Provider Business Practice Location Address
First Line	:	2675 N DECATUR RD STE 506
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-6134
Country	:	US
Telephone Number	:	404-299-1679
Fax Number	:	404-508-7558

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

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	03/16/2026

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Directions to “ TEMITOPE YEWANDE FOSTER MD” Practice Location

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