Individual
LINDSEY BASKIN ROENIGK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PROFESSIONAL PARK, SUITE 204, CARROLLTON, GA 30117-3874
(770) 834-3351
Mailing address
100 PROFESSIONAL PARK, SUITE 204, CARROLLTON, GA 30117-3874
(770) 834-3351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26415
AL
207RP1001X
Pulmonary Disease Physician
Primary
061332
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936581
—
AL
05
—
009936582
—
AL
05
—
348095259C
—
GA
Enumeration date
05/16/2006
Last updated
09/19/2012
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