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Individual

DR. JOSHUA LADD LINEBAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O, M.B.A

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6000
Mailing address
PO BOX 277700, ATLANTA, GA 30384-7700
(864) 560-4123

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101017164
MI
207P00000X
Emergency Medicine Physician
Primary
MDO.1500 DO
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015003
SC
05
5919507
NC
01
P01033607
RAILROAD MEDICARE
SC
Enumeration date
06/25/2007
Last updated
07/18/2012
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