Provider Demographics
NPI:1508114034
Name:FOSTER, CHRISTOPHER FREDERICK (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:FREDERICK
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-4738
Mailing Address - Country:US
Mailing Address - Phone:912-538-0708
Mailing Address - Fax:912-538-8318
Practice Address - Street 1:511 CHURCH ST
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-4738
Practice Address - Country:US
Practice Address - Phone:912-538-0708
Practice Address - Fax:912-538-8318
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009032111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor