Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 049674 | GA |
NPI | 1043215254 |
---|---|
Provider Name | Dr. Linda A. Szekeresh |
First Address | Blairsville, GA 30512-3102 |
Second Address | Blairsville, GA 30512-3102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 15/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
622597338A | (05) | GA |
H33375 | (02) |