# LINDA A FOSTER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northstar Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891352514
- **Authorized official:** JAMES TIMOTHY WILSON (CEO)
- **Authorized official phone:** (901) 751-0939

## Contact information

- **Practice address:** 7900 AIRWAYS BLVD BLDG C1, SOUTHAVEN, MS 38671-4114
- **Practice address phone:** (662) 807-4199
- **Practice address fax:** (662) 807-4201
- **Mailing address:** 1540 APPLING CARE LN STE 105, CORDOVA, TN 38016-4947
- **Mailing address phone:** (901) 444-3950
- **Mailing address fax:** (901) 444-3866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 07/12/2019
