Individual
MRS. LINDA C CUNANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 BULLSBORO DR, NEWNAN, GA 30263-1017
(770) 251-4140
(770) 251-7275
Mailing address
15 KNIGHT DR, NEWNAN, GA 30263
(770) 251-0135
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20861
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00186205A
—
GA
Enumeration date
08/16/2006
Last updated
12/22/2009
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