Provider Demographics
NPI:1407242209
Name:HUIE, LINDSAY GOSS (CPNP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:GOSS
Last Name:HUIE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 GEORGIA BELLE CT
Mailing Address - Street 2:SUITE 2066
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-2667
Mailing Address - Country:US
Mailing Address - Phone:770-806-2928
Mailing Address - Fax:770-806-4151
Practice Address - Street 1:5030 GEORGIA BELLE CT
Practice Address - Street 2:SUITE 2066
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2667
Practice Address - Country:US
Practice Address - Phone:770-806-2928
Practice Address - Fax:770-806-4151
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2015-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN200116363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics