Provider Demographics
NPI:1760666531
Name:FOSTER, WARREN QUINTON (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:QUINTON
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:QUINTON
Other - Middle Name:
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4601 WHITESBURG DR S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1658
Mailing Address - Country:US
Mailing Address - Phone:256-880-1050
Mailing Address - Fax:256-880-7477
Practice Address - Street 1:4601 WHITESBURG DR S
Practice Address - Street 2:SUITE 201
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1658
Practice Address - Country:US
Practice Address - Phone:256-880-1050
Practice Address - Fax:256-880-7477
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2015-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA053814207R00000X
LA200522207RC0000X
OH35.094259207RC0000X
ALMD.34226207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine