Provider Demographics
NPI:1932143690
Name:LINKER, PAUL SANDERS (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SANDERS
Last Name:LINKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:162 COMMERCIAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-2801
Mailing Address - Country:US
Mailing Address - Phone:828-286-5573
Mailing Address - Fax:828-287-3594
Practice Address - Street 1:162 COMMERCIAL DR STE B
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-2801
Practice Address - Country:US
Practice Address - Phone:828-286-5573
Practice Address - Fax:828-287-3594
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA310964208000000X
SC21069208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2482831Medicaid
SC571020809023OtherTRICARE SC
SC571020809025OtherBCBS SC
SC210694Medicaid