Individual
MRS. ANNE DAVIDSON FURTAH LINDBLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2988 SHALLOWFORD RD, MARIETTA, GA 30066-3033
(866) 825-3227
(678) 279-4921
Mailing address
2988 SHALLOWFORD RD, MARIETTA, GA 30066-3033
(866) 825-3227
(678) 279-4921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN167745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
475948632A
—
GA
05
—
475948632B
—
GA
01
—
P00391495
RR MEDICARE
GA
Enumeration date
01/25/2006
Last updated
03/22/2010
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