| Joseph G Foust Md Llc | |
|
1811 Edwina Dr Vidalia GA 30474-8963 | |
| (912) 537-9779 | |
| (912) 538-5529 |
| Full Name | Joseph G Foust Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 Edwina Dr, Vidalia, Georgia |
| Authorized Official Name and Position | Tony M Osteen (CFO) |
| Authorized Official Contact | 9125375314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph G Foust Md Llc Po Box 407 Vidalia GA 30475-0407 Ph: (912) 537-9779 | Joseph G Foust Md Llc 1811 Edwina Dr Vidalia GA 30474-8963 Ph: (912) 537-9779 |
| NPI Number | 1346587755 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 06/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346587755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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