Individual
LINDA TEJADA MAHOMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
11 CHARLIE MORRIS RD, COLBERT, GA 30628-2445
(706) 788-2127
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN-NP316125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN316125
GA BOARD OF NURSING
GA
Enumeration date
11/01/2022
Last updated
10/16/2025
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