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Individual

LINDA SUE BORKAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1810 STADIUM DR, SUITE 220, PHENIX CITY, AL 36867-3100
(334) 664-0210
(334) 664-0217
Mailing address
PO BOX 2585, COLUMBUS, GA 31902-2585
(706) 660-8505
(706) 660-9390

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1077979
AL
163W00000X
Registered Nurse
RN083650
GA
363LF0000X
Family Nurse Practitioner
Primary
1077979
AL

Other

Enumeration date
11/09/2005
Last updated
03/04/2008
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