Healthcare Provider Details

I. General information

NPI: 1407004211
Provider Name (Legal Business Name): LINDA A FOSTER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1589 SPARTA ST STE 201
MC MINNVILLE TN
37110
US

IV. Provider business mailing address

1540 APPLING CARE LN STE 105
CORDOVA TN
38016-4947
US

V. Phone/Fax

Practice location:
  • Phone: 931-815-0050
  • Fax: 931-815-0040
Mailing address:
  • Phone: 901-444-3950
  • Fax: 901-444-3866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES TIMOTHY WILSON
Title or Position: CEO
Credential:
Phone: 901-751-0939