Organization
ERNIE E LIN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNIE E LIN M.D. (PRESIDENT)
(706) 855-5666
Entity
Organization
Contact information
Practice address
211 PLEASANT HOME RD., SUITE F-3, AUGUSTA, GA 30907-0559
(706) 855-5666
(706) 855-7248
Mailing address
211 PLEASANT HOME RD STE F3, AUGUSTA, GA 30907-0559
(706) 855-5666
(706) 855-7248
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
40460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52598825
BC-BS PROVIDER NUMBER
GA
01
—
P00063679
MEDICARE RAILROAD
GA
Enumeration date
11/24/2006
Last updated
04/20/2008
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