Provider Demographics
NPI:1376017418
Name:LINGER, MEREDITH SCOTT (PA-C)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:SCOTT
Last Name:LINGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3373 RENAISSANCE PARK PL
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2279
Mailing Address - Country:US
Mailing Address - Phone:828-550-2418
Mailing Address - Fax:
Practice Address - Street 1:3900 BROWNING PL STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6529
Practice Address - Country:US
Practice Address - Phone:919-781-9650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-11
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant