Linda Foltz, Ph.d., P.c. | |
1592 Drakes Dr Jonesboro GA 30236-5068 | |
(770) 461-2520 | |
Not Available |
Full Name | Linda Foltz, Ph.d., P.c. |
---|---|
Speciality | Psychologist |
Location | 1592 Drakes Dr, Jonesboro, Georgia |
Authorized Official Name and Position | Linda Foltz (PRESIDENT) |
Authorized Official Contact | 7704612520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Linda Foltz, Ph.d., P.c. 1592 Drakes Dr Jonesboro GA 30236-5068 Ph: (770) 461-2520 | Linda Foltz, Ph.d., P.c. 1592 Drakes Dr Jonesboro GA 30236-5068 Ph: (770) 461-2520 |
NPI Number | 1215129655 |
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Provider Enumeration Date | 08/09/2007 |
Last Update Date | 03/31/2021 |
Certification Date | 03/31/2021 |
Medicare PECOS PAC ID | 0446343370 |
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Medicare Enrollment ID | O20070907000448 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215129655 | NPI | - | NPPES |
000611421B | Medicaid | GA | |
GROUP 4671 | Other | GA | MEDICARE GROUP |
68BBGDP | Other | GA | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY001867 (Georgia) | Primary |
Provider Name | Linda M Foltz |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1528194917 PECOS PAC ID: 9133212061 Enrollment ID: I20070907000491 |
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