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NPI Code Detail

MEDICARE: MS. LINDA LEE CANHAM

MEDICARE:  MS. LINDA LEE CANHAM
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
1347C00000XPrivate Vehicle67215VA

General Provider Information

NPI Number : 1548956816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA LEE CANHAM
Provider Business Mailing Address
First Line : 9010 GEORGE WASHINGTON MEMORIAL HWY
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-4161
Country : US
Telephone Number : 757-940-9453
Fax Number :
Provider Business Practice Location Address
First Line : 9010 GEORGE WASHINGTON MEMORIAL HWY
Second Line :
City : GLOUCESTER
State : VA
Zip : 23061-4161
Country : US
Telephone Number : 757-940-9453
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2023
Last Update Date : 05/17/2023

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Directions to “ MS. LINDA LEE CANHAM ” Practice Location

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