Provider Demographics
NPI:1245390467
Name:LIN, AMY XIUXIANG JIAO (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:XIUXIANG JIAO
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 DULUTH PARK LANE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-3230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3500 DULUTH PARK LANE
Practice Address - Street 2:SUITE 220
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-3230
Practice Address - Country:US
Practice Address - Phone:678-312-3273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060560208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist