MEDICARE: LINDA SIMPSON

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	225100000X	Physical Therapist	PT017825	GA

General Provider Information

NPI Number	:	1912889023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA SIMPSON

Provider Business Mailing Address
First Line	:	145 FOREST BLVD STE 200
Second Line	:
City	:	DAWSONVILLE
State	:	GA
Zip	:	30534-7878
Country	:	US
Telephone Number	:	706-203-2100
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 FOREST BLVD STE 200
Second Line	:
City	:	DAWSONVILLE
State	:	GA
Zip	:	30534-7878
Country	:	US
Telephone Number	:	706-203-2100
Fax Number	:

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

Provider Enumeration Date	:	07/22/2025
Last Update Date	:	07/22/2025

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Directions to “ LINDA SIMPSON ” Practice Location

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