Provider Demographics
NPI:1649274325
Name:OLIVER, LINDA M (PA)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:OLIVER
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Gender:F
Credentials:PA
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Mailing Address - Street 1:90 SOUTHSIDE AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4160
Mailing Address - Country:US
Mailing Address - Phone:828-277-4810
Mailing Address - Fax:828-277-4847
Practice Address - Street 1:90 SOUTHSIDE AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4160
Practice Address - Country:US
Practice Address - Phone:828-277-4810
Practice Address - Fax:828-277-4847
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2011-05-26
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Provider Licenses
StateLicense IDTaxonomies
NC1007599363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC140004469OtherRR MEDICARE
NC74899OtherBCBS
NCS56366Medicare UPIN