MEDICARE: LINDA JO SAUNDERS M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	031118	GA
2	208600000X	Surgery Physician	31118	GA
3	208D00000X	General Practice Physician	31118	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124062229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA JO SAUNDERS M.D

Provider Business Mailing Address
First Line	:	102 BUTLER CREEK CT
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-5943
Country	:	US
Telephone Number	:	404-680-5375
Fax Number	:

Provider Business Practice Location Address
First Line	:	4889 GOLDEN PKWY
Second Line	:	SUITE 100
City	:	BUFORD
State	:	GA
Zip	:	30518-5877
Country	:	US
Telephone Number	:	678-714-3217
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	06/04/2020

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