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Organization

LINDA A FOSTER MD PC

Active
Other names
Northstar Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES TIMOTHY WILSON (CEO)
(901) 751-0939
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/29/2019
Last updated
07/12/2019
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