Joseph G Foust MD LLC

NPI #1346587755 in Vidalia, Georgia

Provider Information

NPI Number: 1346587755
Entity Type: Organization
Organization Name: Joseph G Foust MD LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Jan 7, 2013
Last Updated: Jun 12, 2014

Practice Location

Address: 1811 EDWINA DR
City: Vidalia
State: Georgia
ZIP Code: 30474-8963
Phone: (912) 537-9779

Authorized Official

Name: MR. TONY M OSTEEN
Title: CFO
Phone: (912) 537-5314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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