Provider Demographics
NPI:1942322334
Name:SINGLETON, LINDA HARWELL (P T)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:HARWELL
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 CAPRI DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-1752
Mailing Address - Country:US
Mailing Address - Phone:770-536-1633
Mailing Address - Fax:770-536-0197
Practice Address - Street 1:295 CAPRI DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30506-1752
Practice Address - Country:US
Practice Address - Phone:770-536-1633
Practice Address - Fax:770-536-0197
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0002242251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1134284276OtherNPI CORPORATION#