Healthcare Provider Details

I. General information

NPI: 1922916196
Provider Name (Legal Business Name): ELIZABETH RABON LINDROTH PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 HARPER ST
AUGUSTA GA
30912-0020
US

IV. Provider business mailing address

338 BROAD ST
AUGUSTA GA
30901-1518
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-1476
  • Fax:
Mailing address:
  • Phone: 803-443-8558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: