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Individual

DR. LINDA ALICE BARTLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, MHSC.

Contact information

Practice address
254 FURYS FERRY RD, AUGUSTA, GA 30907-3118
(706) 986-0999
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8274

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104965
GA
207Q00000X
Family Medicine Physician
Primary
321872
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104965
GA MEDICAL LICENSE
GA
01
321872
LICENSE
NY
Enumeration date
07/23/2024
Last updated
04/21/2026
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