Individual
MS. LINDA MERCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Mailing address
4331 THURMOND TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
591
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP2048
MEDICARE GROUP NUMBER
GA
Enumeration date
04/03/2006
Last updated
09/11/2007
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