# MR. JASON R. DIMONDA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205188737
- **Gender:** Man
- **Credential:** PAAA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 006600 | GA | Yes |
| 367H00000X | Anesthesiologist Assistant | 6600 | GA | — |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 03/03/2014