Individual
DR. ERNIE E LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 PLEASANT HOME ROAD, SUITE F-3, AUGUSTA, GA 30907-0559
(706) 855-5666
(706) 855-7248
Mailing address
211 PLEASANT HOME ROAD, SUITE F-3, AUGUSTA, GA 30907-0559
(706) 855-5666
(706) 855-7248
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
040460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25BDBQJ
MEDICARE PROVIDER NUMBER
GA
01
—
52598825
BCBS PROVIDER NUMBER
GA
01
—
P00063679
MEDICARE RAILROAD
GA
Enumeration date
02/22/2008
Last updated
02/22/2008
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