Individual
LINDA A WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 CENTURY PKWY NE, SUITE 600, ATLANTA, GA 30345-3154
(404) 633-4838
(404) 633-4839
Mailing address
3993 SAINT CLAIR CT NE, ATLANTA, GA 30319-1845
(678) 689-3494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10666
SC
2083X0100X
Occupational Medicine Physician
Primary
027261
GA
2083X0100X
Occupational Medicine Physician
10666
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106664
—
SC
Enumeration date
04/19/2007
Last updated
02/26/2021
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