Individual
MARGO ANGELA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2295 PARKLAKE DR NE STE 150, ATLANTA, GA 30345-2825
(770) 938-5974
(770) 939-4450
Mailing address
900 CIRCLE 75 PKWY SE STE 900, ATLANTA, GA 30339-3084
(678) 426-2171
(404) 446-1957
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001017
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001017
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690335867A
—
GA
01
—
P00427170
RAILROAD MEDICARE PTAN
GA
Enumeration date
04/24/2006
Last updated
02/19/2019
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