MEDICARE: MS. CINDY ANN FOSTER

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	1041C0700X	Clinical Social Worker	CSW002401	GA

General Provider Information

NPI Number	:	1518135185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CINDY ANN FOSTER

Provider Business Mailing Address
First Line	:	4210 COLUMBIA RD
Second Line	:	4A
City	:	MARTINEZ
State	:	GA
Zip	:	30907-0403
Country	:	US
Telephone Number	:	706-312-6885
Fax Number	:	706-922-7630

Provider Business Practice Location Address
First Line	:	4210 COLUMBIA RD
Second Line	:	4A
City	:	MARTINEZ
State	:	GA
Zip	:	30907-0403
Country	:	US
Telephone Number	:	706-312-6885
Fax Number	:	706-922-7630

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

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	02/20/2017

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