Provider Demographics
NPI:1326151622
Name:SOEKER, LINDA A (PCPNP)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:A
Last Name:SOEKER
Suffix:
Gender:F
Credentials:PCPNP
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:A
Other - Last Name:HARTMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 742616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:
Practice Address - Street 1:30 COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525-4295
Practice Address - Country:US
Practice Address - Phone:706-782-7040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3342442363LP0200X
GAGAA-NP001301363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300286101Medicaid
FL215332OtherAMERIGROUP