Individual
DR. LINDA J CROUT WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2525 KINARD STREET, NEWBERRY, SC 29108
(803) 405-0220
(803) 405-0222
Mailing address
2525 KINARD STREET, NEWBERRY, SC 29108
(803) 405-0220
(803) 405-0222
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
12957
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3903
—
SC
Enumeration date
03/23/2006
Last updated
03/08/2012
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