Provider Demographics
NPI:1316976186
Name:GEORGE, LINDA J (CNM)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:GEORGE
Suffix:
Gender:F
Credentials:CNM
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Mailing Address - Street 1:701 MEDICAL PARK DR
Mailing Address - Street 2:STE 202
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-4777
Mailing Address - Country:US
Mailing Address - Phone:843-339-9222
Mailing Address - Fax:843-339-2830
Practice Address - Street 1:701 MEDICAL PARK DR
Practice Address - Street 2:STE 202
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4777
Practice Address - Country:US
Practice Address - Phone:843-339-9222
Practice Address - Fax:843-339-2830
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
SCAPN1398367A00000X
MER053223367A00000X
VT101-0038257367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCMG0670504OtherDEA