Individual
LINDA ANN PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2480
(803) 936-4102
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L5511
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
30209
SC
207RP1001X
Pulmonary Disease Physician
30209
SC
207RP1001X
Pulmonary Disease Physician
L5511
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302096
—
SC
Enumeration date
06/18/2007
Last updated
11/10/2020
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