MEDICARE: LINDA MARIE YOUNGWIRTH 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
1	208600000X	Surgery Physician	68655	TN
2	208600000X	Surgery Physician	2019-01541	NC
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1679830400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MARIE YOUNGWIRTH MD

Provider Business Mailing Address
First Line	:	300 20TH AVE N STE 403
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-5180
Country	:	US
Telephone Number	:	615-284-4088
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 20TH AVE N STE 301
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2173
Country	:	US
Telephone Number	:	615-284-2400
Fax Number	:	855-873-8660

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

Provider Enumeration Date	:	04/18/2012
Last Update Date	:	02/09/2026

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