Provider Demographics
NPI:1396701462
Name:LINAM, LEANN EGGERS (MD)
Entity type:Individual
Prefix:
First Name:LEANN
Middle Name:EGGERS
Last Name:LINAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:1405 CLIFTON RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1060
Mailing Address - Country:US
Mailing Address - Phone:404-785-6532
Mailing Address - Fax:404-785-1216
Practice Address - Street 1:1405 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1060
Practice Address - Country:US
Practice Address - Phone:404-785-6532
Practice Address - Fax:404-785-1216
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA786712085P0229X
OHOH 350706842085P0229X
ARE-61092085P0229X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR162922001Medicaid
AR5H879Medicare PIN