Individual
LINDA MICHELLE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4702
(843) 476-4290
Mailing address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4702
(843) 476-4290
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1187
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0590PA
—
SC
Enumeration date
02/02/2007
Last updated
03/05/2025
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