Individual
JAMIE O LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
123 THREE RIVERS DR NE, ROME, GA 30161-2300
(706) 295-3961
Mailing address
420 E 2ND AVE STE 103, ROME, GA 30161-3210
(706) 509-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
062389
GA
207R00000X
Internal Medicine Physician
Primary
062389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259849458C
—
GA
Enumeration date
06/15/2008
Last updated
03/10/2023
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