Provider Demographics
NPI:1508870114
Name:FOSTER, JAMES GILBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GILBERT
Last Name:FOSTER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1800 HOWELL MILL RD NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2594
Mailing Address - Country:US
Mailing Address - Phone:404-240-9700
Mailing Address - Fax:404-240-9701
Practice Address - Street 1:1800 HOWELL MILL RD NW
Practice Address - Street 2:SUITE 500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2594
Practice Address - Country:US
Practice Address - Phone:404-240-9700
Practice Address - Fax:404-240-9701
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2014-07-28
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Provider Licenses
StateLicense IDTaxonomies
GA016230174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE01065Medicare UPIN
GA202I341006Medicare PIN