Individual
LINDA MAE CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1921 WHITTLESEY RD, STE 200, COLUMBUS, GA 31904-9213
(706) 494-1454
(706) 494-1455
Mailing address
PO BOX 846, FORTSON, GA 31808-0846
(706) 494-1454
(706) 494-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048885
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000881427B
—
GA
05
—
000881427C
—
GA
Enumeration date
11/10/2005
Last updated
01/19/2017
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