Provider Demographics
NPI:1730975830
Name:FOSKEY, ANGEL GRACE (PA-C)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:GRACE
Last Name:FOSKEY
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 MARY ST
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-2628
Mailing Address - Country:US
Mailing Address - Phone:423-426-4054
Mailing Address - Fax:
Practice Address - Street 1:142 MARY ST
Practice Address - Street 2:
Practice Address - City:GRAY
Practice Address - State:TN
Practice Address - Zip Code:37615-2628
Practice Address - Country:US
Practice Address - Phone:423-426-4054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant