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NPI Code Detail

MEDICARE: DR. ERIN BREEANN LINDHOLM MD

MEDICARE: DR. ERIN BREEANN LINDHOLM MD
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
1208000000XPediatrics Physician81304GA
2208000000XPediatrics PhysicianME121336FL

Other Identifiers

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

General Provider Information

NPI Number : 1245520279
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN BREEANN LINDHOLM MD
Provider Business Mailing Address
First Line : 5055 HIGH POINTE DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32505-1830
Country : US
Telephone Number : 559-280-7678
Fax Number :
Provider Business Practice Location Address
First Line : 125 CHURCH ST
Second Line :
City : VIDALIA
State : GA
Zip : 30474-4770
Country : US
Telephone Number : 912-538-8484
Fax Number : 912-538-8665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 01/04/2022

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