Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 16854 | MS |
NPI | 1871690180 |
---|---|
Provider Name | Dr. Linda Gesina Schmidt |
First Address | Jackson, MS 39211-3702 |
Second Address | Jackson, MS 39211-3702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 30/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06088001 | (05) | MS |
H26161 | (02) | MS |