Individual
DR. HO NIEN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 DIXIE ST, CARROLLTON, GA 30117-3818
(770) 836-9660
(770) 812-5028
Mailing address
119 MAPLE ST, SUITE 205, CARROLLTON, GA 30117-3230
(770) 834-0751
(770) 834-0753
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
046157
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000870823D
—
GA
01
—
945281
BLUE CROSS BLUE SHIELD
GA
Enumeration date
02/14/2006
Last updated
01/28/2011
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