Linda Boettger PA

NPI 1720064181 - Physician Assistant - 363AM0700X

NPI Details
NPI 1720064181
Gender Female
Enumeration Date 12/19/2005
Last Updated 04/19/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
600 MOYE BLVD
BRODY OUTPATIENT CENTER
GREEENVILLE NC, 27858, US
Phone (252) 744-2207
Fax (252) 744-3224
Business Location
PO BOX 751069
CHARLOTTE NC, 28275-1069, US
Phone (252) 744-3235
Fax (252) 744-3194
Toxanomy
Taxonomy Code 363AM0700X
License State North Carolina
License Number 100819
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According to our database, Ms. Linda Boettger PA NPI is 1720064181, taxonomy code is 363AM0700X and license number is 100819, license state is located at North Carolina. Linda Boettger PA physically located at 600 Moye Blvd, Greeenville NC, 27858. NPI Number Linda Boettger PA has the Individual type.

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1720064181 NPI number is provided on an as is basis without warranty of any kind. 1720064181 is maintained by the National Plan & Provider Enumeration System. The contents of Linda Boettger PA are for informational purposes only.