Individual
DOUGLAS A LINVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3240 NORTHEAST EXPRESSWAY, SUITE 100, ATANTA, GA 30341-3976
(404) 480-9330
Mailing address
3240 NORTHEAST EXPRESSWAY, SUITE 100, ATLANTA, GA 30341-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
80785
GA
207X00000X
Orthopaedic Surgery Physician
Primary
MD33869
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125519
—
MS
05
—
3377615
—
TN
05
—
3854143
—
TN
01
—
4036605
BCBST
TN
01
—
4922880001
CIGNA GOVERNMENT DME
TN
Enumeration date
03/02/2006
Last updated
04/04/2024
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