Individual
LINDA GWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
2781 TOPAZ RD, RIVERDALE, GA 30296-6014
(770) 985-4257
(770) 985-4258
Mailing address
2781 TOPAZ RD, RIVERDALE, GA 30296-6014
(770) 985-4257
(770) 985-4258
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3133
GA
Other
Enumeration date
09/14/2007
Last updated
04/11/2017
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