Provider Demographics
NPI:1912101221
Name:FOSTER, JOHN DONNALD (DOCTOR OF MINISTRY)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DONNALD
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DOCTOR OF MINISTRY
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Other - Credentials:
Mailing Address - Street 1:WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
Mailing Address - Street 2:MEDICAL CENTER BOULEVARD
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-1099
Mailing Address - Country:US
Mailing Address - Phone:336-716-4745
Mailing Address - Fax:336-716-5075
Practice Address - Street 1:WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER
Practice Address - Street 2:MEDICAL CENTER BOULEVARD
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1099
Practice Address - Country:US
Practice Address - Phone:336-716-4745
Practice Address - Fax:336-716-5075
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2159101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor