Provider Demographics
NPI:1598880643
Name:AUSTIN, LINDA SMITH (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:SMITH
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2016 WAPPOO DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2051
Mailing Address - Country:US
Mailing Address - Phone:843-795-5858
Mailing Address - Fax:843-406-7510
Practice Address - Street 1:26 BEE ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29403-5818
Practice Address - Country:US
Practice Address - Phone:843-795-5858
Practice Address - Fax:843-406-7510
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC127742084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice