Individual
LINA HEATH HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 DARLING AVE, WAYCROSS, GA 31501-5223
(912) 283-1717
(912) 283-7633
Mailing address
303 DARLING AVE, WAYCROSS, GA 31501-5223
(912) 283-1717
(912) 283-7633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055237
GA
207Q00000X
Family Medicine Physician
ME 86074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784730256A
—
GA
01
—
DC0134
RR MEDICARE
GA
Enumeration date
02/13/2006
Last updated
05/18/2020
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