Individual
ANGELLO LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0001
(706) 721-8623
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
21995
SC
204F00000X
Transplant Surgery Physician
Primary
44005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T59585
—
SC
Enumeration date
07/25/2006
Last updated
03/12/2024
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