Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 89125 | GA |
N | 111NI0900X | Internist | 89125 | GA |
Y | 207RN0300X | Nephrologist | 89125 | GA |
NPI | 1073048807 |
---|---|
Provider Name | Dr. Kristy Bearden Linder |
First Address | Dunwoody, GA 30338-4522 |
Second Address | Atlanta, GA 30322-1627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2017 |
Last Update Date | 10/11/2021 |