Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 74555 | GA |
NPI | 1013145515 |
---|---|
Provider Name | Jenny Lin |
First Address | Atlanta, GA 30328-6773 |
Second Address | Atlanta, GA 30328-4308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 19/11/2020 |