1750328019 NPI number — DR. LINDA D GUYDON MD

Table of content: DR. LINDA D GUYDON MD (NPI 1750328019)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750328019 NPI number — DR. LINDA D GUYDON MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUYDON
Provider First Name:
LINDA
Provider Middle Name:
D
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750328019
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8200 ROBERTS DR STE 450
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANDY SPRINGS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30350-4115
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-952-8612
Provider Business Mailing Address Fax Number:
678-803-6944

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6300 HOSPITAL PKWY STE 250
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30097-2454
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-953-3331
Provider Business Practice Location Address Fax Number:
770-495-8219
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , with the licence number:  24945 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00298251E , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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