Individual
DR. JIMMY LONDONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0002
(706) 721-2261
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE GC-1012, AUGUSTA, GA 30912-0002
(706) 721-2261
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DNF000346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872677118A
—
GA
05
—
ZG0346
—
SC
Enumeration date
08/06/2008
Last updated
02/19/2026
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