MEDICARE: DR. LINDA WHITBY 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	207V00000X	Obstetrics & Gynecology Physician	D17162	MD
2	207P00000X	Emergency Medicine Physician	D17162	MD
3	2083P0901X	Public Health & General Preventive Medicine Physician	D17162	MD
4	207QA0401X	Addiction Medicine (Family Medicine) Physician	D17162	MD

General Provider Information

NPI Number	:	1912999228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA WHITBY M.D.

Provider Business Mailing Address
First Line	:	3666 MUDDY CREEK RD
Second Line	:
City	:	EDGEWATER
State	:	MD
Zip	:	21037-3418
Country	:	US
Telephone Number	:	443-203-0103
Fax Number	:	443-203-0104

Provider Business Practice Location Address
First Line	:	3666 MUDDY CREEK RD
Second Line	:
City	:	EDGEWATER
State	:	MD
Zip	:	21037-3418
Country	:	US
Telephone Number	:	443-203-0103
Fax Number	:	443-203-0104

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	09/23/2016

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