Provider Demographics
NPI:1447235403
Name:STARIHA, LINDA SADLER (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SADLER
Last Name:STARIHA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 HOSPITAL SOUTH DRIVE
Mailing Address - Street 2:SUITE 502
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106
Mailing Address - Country:US
Mailing Address - Phone:678-741-2317
Mailing Address - Fax:678-741-2301
Practice Address - Street 1:61 WHITCHER STREET
Practice Address - Street 2:SUITE 3100
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060
Practice Address - Country:US
Practice Address - Phone:678-741-5000
Practice Address - Fax:678-819-4279
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR042551363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAS59847Medicare UPIN
GA50BBDHNMedicare ID - Type Unspecified