| Doctor Name: | DR. LINETTE JEANNA EWING |
| NPI Number: | 1790865434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 0102202051 |
| Business Practice Address: | 7119 Langley St Milton, FL - 325706105 |
| Business Phone Number: | 8506237151 |
| Business Fax Number: | 8506237538 |
| Mailing Address: | 7119 Langley St, MILTON |
| State: | FL |
| Postal Code: | 325706105 |
| Phone Number: | 8506237151 |
| Fax Number: | 8506237538 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0102202051 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |