MEDICARE: DR. CHERYL ANN LINN M.D,, M.P.H

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
1	207Q00000X	Family Medicine Physician	00018775	AL

General Provider Information

NPI Number	:	1417981895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHERYL ANN LINN M.D,, M.P.H

Provider Business Mailing Address
First Line	:	2823 RIO GUADALUPE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78259-2622
Country	:	US
Telephone Number	:	210-481-1269
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 LOUIS BAUER DR
Second Line	:
City	:	BROOKS CITY-BASE
State	:	TX
Zip	:	78235-5130
Country	:	US
Telephone Number	:	210-536-2845
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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