Provider Demographics
NPI:1407004211
Name:LINDA A FOSTER MD PC
Entity Type:Organization
Organization Name:LINDA A FOSTER MD PC
Other - Org Name:NORTHSTAR PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-751-0939
Mailing Address - Street 1:1540 APPLING CARE LN STE 105
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-4947
Mailing Address - Country:US
Mailing Address - Phone:901-444-3950
Mailing Address - Fax:901-444-3866
Practice Address - Street 1:1589 SPARTA ST
Practice Address - Street 2:STE 201
Practice Address - City:MC MINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110
Practice Address - Country:US
Practice Address - Phone:931-815-0050
Practice Address - Fax:931-815-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty