Organization
LINA HEATH HARPER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINA HEATH HARPER M.D. (PRESIDENT)
(912) 283-1717
Entity
Organization
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00142568
RR MEDICARE GROUP #
GA
Enumeration date
07/20/2006
Last updated
08/22/2020
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