Provider Demographics
NPI:1043215254
Name:SZEKERESH, LINDA A (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:A
Last Name:SZEKERESH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3102
Mailing Address - Country:US
Mailing Address - Phone:706-745-0567
Mailing Address - Fax:706-745-0556
Practice Address - Street 1:136 HOSPITAL DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3102
Practice Address - Country:US
Practice Address - Phone:706-745-0567
Practice Address - Fax:706-745-0556
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049674174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA622597338AMedicaid
18BDBKFMedicare PIN
GA622597338AMedicaid
GA18BDGKFMedicare ID - Type Unspecified