Provider Demographics
NPI:1750328019
Name:GUYDON, LINDA D (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:D
Last Name:GUYDON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8200 ROBERTS DR STE 450
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4115
Mailing Address - Country:US
Mailing Address - Phone:770-952-8612
Mailing Address - Fax:678-803-6944
Practice Address - Street 1:6300 HOSPITAL PKWY STE 250
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-2454
Practice Address - Country:US
Practice Address - Phone:770-953-3331
Practice Address - Fax:770-495-8219
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA24945207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00298251EMedicaid
GA00298251EMedicaid
GA03BDBPWMedicare ID - Type Unspecified