Provider Demographics
NPI:1578671970
Name:FOSTER, PRIMA R (MD)
Entity Type:Individual
Prefix:DR
First Name:PRIMA
Middle Name:R
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6400 FLAT ROCK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5972
Mailing Address - Country:US
Mailing Address - Phone:409-256-4341
Mailing Address - Fax:706-478-5858
Practice Address - Street 1:6400 FLAT ROCK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5972
Practice Address - Country:US
Practice Address - Phone:706-478-5858
Practice Address - Fax:706-478-0417
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2021-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA057619207Q00000X, 207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine