Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 6193 | AL |
Y | 1223G0001X | General Practice | 6193 | AL |
Y | 213EG0000X | General Practice | 6193 | AL |
NPI | 1003297326 |
---|---|
Provider Name | Dr. Linh Chuc Tran |
First Address | Leeds, AL 35094-1705 |
Second Address | Leeds, AL 35094-1705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2015 |
Last Update Date | 19/05/2016 |