Individual
LINDA M DINERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
116 LILY FLAGG RD SW, SUITE C, HUNTSVILLE, AL 35802-3066
(256) 883-1110
(256) 883-1114
Mailing address
420 LOWELL DRIVE, SUITE 103, HUNTSVILLE, AL 35801
(256) 535-5940
(256) 535-5954
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
24103
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005005203
AETNA
—
01
—
51505321
BLUE CROSS BLUE SHIELD
AL
01
—
631284727
TAX ID
—
Enumeration date
11/09/2005
Last updated
01/18/2010
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