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General NPI Number Information
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NPI Number | 1558774950
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Entity Type | Individual
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Provider Name | KERRIE ANN LIND MD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1800 PHOENIX BLVD STE 128-12
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City | ATLANTA
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State | GA
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Zip | 30349-5593
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Country | US
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Telephone | 844-359-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 201 STERLING WOODS DR
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City | RICHMOND HILL
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State | GA
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Zip | 31324-4376
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Country | US
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Telephone | 770-378-5011
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101257908
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0079851
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 89945
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 89945
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | 89945
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License Number State | GA
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