Individual
PRESTON SHERROD LINEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 522-1800
(864) 522-1806
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2798
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3424PA
—
SC
Enumeration date
07/30/2017
Last updated
01/18/2023
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