Individual
LINDA M HUESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
774 ATHENS RD, LEXINGTON, GA 30648-1908
(706) 743-8183
(706) 743-3233
Mailing address
PO BOX 409, WATKINSVILLE, GA 30677-0011
(706) 769-6469
(706) 769-4402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043655
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665794A
—
GA
05
—
00753497B
—
GA
01
—
083452
BCBS OF GEORGIA
GA
Enumeration date
05/27/2005
Last updated
04/12/2016
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