Street, Linda Marie

Street, Linda Marie is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Street, Linda Marie can be contacted via phone (706) 721-4959.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 721-4959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 75544 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 32026 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 75544 Georgia
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 32026 South Carolina
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 2013-00501 North Carolina

Profile Details

NPI number 1962630830
LBN Legal business name Street, Linda Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Jan 7th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962630830 NPPES
North Carolina Other 5632783 AETNA
North Carolina Other 179TK AETNA
North Carolina MEDICAID 1962630830 AETNA

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