Linda Chidester, MD
Individual provider Active NPI Family Medicine Physician · Saltillo, MS
NPI 1982804597 · NPPES record last updated Jul 22, 2007
Key facts
- NPI
- 1982804597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 07205 (MS)
- Practice address
- 105 Town Creek Dr
Saltillo, MS 38866-7947 - Phone
- (662) 869-0033
- NPI assigned
- Jul 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07205 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolton Family Medical Clinic, P.C. | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 07205 | MS | Yes |
Addresses
Primary practice location
105 Town Creek Dr
Saltillo, MS 38866-7947
Mailing address
PO Box 3395
Tupelo, MS 38803-3395
Phone (662) 570-4228
Other providers in Saltillo, MS
- Caring Heart and Hands House
- Carole Moore Counseling and Consulting, LLC
- Adrianna Carpenter
- Jennifer M Carroll
- Emilly Marie Carter
- Chiropractic Center of Saltillo
- Sarah Rebekah Christian
- Steven B Coggins X
- Core Rehabilitation, LLC
- Amy Cornelius
All providers in Saltillo, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.