Individual
LINDA FAYE SATTERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 FORREST AVE, CARTERSVILLE, GA 30120-3640
(770) 382-3206
(770) 382-3276
Mailing address
310 BLAKE DR, CANTON, GA 30114-8515
(678) 880-0189
(770) 434-3999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003120
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10035982
AMERIGROUP
GA
01
—
312666
WELLCARE
GA
01
—
52047404 001
BLUE CROSS BLUE SHIELD
GA
01
—
52047404 002
BLUE CROSS BLUE SHIELD
GA
01
—
52047404 003
BLUE CROSS BLUE SHIELD
GA
Enumeration date
11/14/2006
Last updated
07/08/2007
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