Provider Demographics
NPI:1356538615
Name:FOSTER, TEMITOPE YEWANDE (MD)
Entity type:Individual
Prefix:
First Name:TEMITOPE
Middle Name:YEWANDE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 N DECATUR RD STE 506
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6134
Mailing Address - Country:US
Mailing Address - Phone:404-299-1679
Mailing Address - Fax:404-508-7558
Practice Address - Street 1:2675 N DECATUR RD STE 506
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6134
Practice Address - Country:US
Practice Address - Phone:404-299-1679
Practice Address - Fax:404-508-7558
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230178207R00000X
CT43575207R00000X
CA96099207RG0100X
GA65547207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine