Tempest Keaira Foster

Individual provider Active NPI Contractor · Georgetown, GA

NPI 1669159141 · NPPES record last updated Jun 28, 2023

Key facts

NPI
1669159141
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
2938 US Highway 82
Georgetown, GA 39854-3130
Phone
(229) 398-8952
NPI assigned
Jun 28, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

2938 US Highway 82
Georgetown, GA 39854-3130

Mailing address

2938 US Highway 82
Georgetown, GA 39854-3130
Phone (229) 398-8952

Other providers in Georgetown, GA

All providers in Georgetown, GA · Contractor in Georgia

Sources for this page

Verify at the official NPI Registry.