Provider Demographics
NPI:1871562009
Name:MOHR, LINDA CHAPPELL (MD)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:CHAPPELL
Last Name:MOHR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:CAROL
Other - Last Name:CHAPPELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 RIDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-8504
Mailing Address - Country:US
Mailing Address - Phone:919-876-9797
Mailing Address - Fax:919-790-1254
Practice Address - Street 1:901 RIDGEFIELD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-8504
Practice Address - Country:US
Practice Address - Phone:919-876-9797
Practice Address - Fax:919-790-1254
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28277207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1524943OtherCIGNA
NC59957OtherBCBS
NC001098594006OtherUNITED HEALTHCARE
NC8959957Medicaid
208948FMedicare ID - Type Unspecified
NC8959957Medicaid