Provider Demographics
NPI:1669040085
Name:LINFORD, DAVID GREGORY (FNP-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:GREGORY
Last Name:LINFORD
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 MIDTOWN DR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906-5200
Mailing Address - Country:US
Mailing Address - Phone:843-379-5832
Mailing Address - Fax:843-522-1275
Practice Address - Street 1:300 MIDTOWN DR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29906-5200
Practice Address - Country:US
Practice Address - Phone:843-379-7746
Practice Address - Fax:843-522-1275
Is Sole Proprietor?:No
Enumeration Date:2021-06-13
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25681363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily