Individual
MS. LINDA BOETTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 MOYE BLVD, BRODY OUTPATIENT CENTER, GREEENVILLE, NC 27858
(252) 744-2207
(252) 744-3224
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3235
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100819
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970005603
RAILROAD MEDICARE
NC
Enumeration date
12/19/2005
Last updated
04/19/2010
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