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NPI Code Detail

MEDICARE: JAMIE O LIN DO

MEDICARE: JAMIE O LIN DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician062389GA
2207R00000XInternal Medicine Physician062389GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366602153
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE O LIN DO
Provider Business Mailing Address
First Line : 420 E 2ND AVE STE 103
Second Line :
City : ROME
State : GA
Zip : 30161-3210
Country : US
Telephone Number : 706-509-3000
Fax Number :
Provider Business Practice Location Address
First Line : 123 THREE RIVERS DR NE
Second Line :
City : ROME
State : GA
Zip : 30161-2300
Country : US
Telephone Number : 706-295-3961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2008
Last Update Date : 03/10/2023

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Directions to “ JAMIE O LIN DO” Practice Location

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