Doctor Name: | PHILLIP DEWEY FOSHEE |
NPI Number: | 1477620896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 00003110 |
Business Practice Address: | 310 Pinedale Rd Clanton, AL - 35045 |
Business Phone Number: | 2057553877 |
Business Fax Number: | 2057553608 |
Mailing Address: | 310 Pinedale Rd., CLANTON |
State: | AL |
Postal Code: | 35045 |
Phone Number: | 2057553877 |
Fax Number: | 2057553608 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 01/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 00003110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |