Provider Demographics
NPI:1588853774
Name:TOMEY, LINDA S (CRNA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:S
Last Name:TOMEY
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1419 CHATTANOOGA AVE
Mailing Address - Street 2:STE 4
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2642
Mailing Address - Country:US
Mailing Address - Phone:706-259-4428
Mailing Address - Fax:
Practice Address - Street 1:330 TURNER MCCALL BLVD SW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-5630
Practice Address - Country:US
Practice Address - Phone:706-291-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN155935367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered