Provider Demographics
NPI:1528055381
Name:FOSTER, LINDA A (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:A
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1589 SPARTA ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-1332
Mailing Address - Country:US
Mailing Address - Phone:931-815-0050
Mailing Address - Fax:931-815-0040
Practice Address - Street 1:1589 SPARTA ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1332
Practice Address - Country:US
Practice Address - Phone:931-815-0050
Practice Address - Fax:931-815-0040
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TNMD15823207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3156281OtherBLUE CROSS
TN3012488Medicaid
TNA97656Medicare UPIN
TN3156281OtherBLUE CROSS