Provider Demographics
NPI:1871548412
Name:FOSTER, JAMES GRANBURY III (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GRANBURY
Last Name:FOSTER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 100174
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29202-3174
Mailing Address - Country:US
Mailing Address - Phone:864-512-6810
Mailing Address - Fax:864-224-1109
Practice Address - Street 1:2000 E GREENVILLE ST STE 2500
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1728
Practice Address - Country:US
Practice Address - Phone:864-512-6810
Practice Address - Fax:864-224-1109
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2022-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC16468208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP01473433OtherRR MEDICARE
SCTL5919Medicaid
F57438Medicare UPIN
SCTL5919Medicaid