Individual
ALLAN B IMES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1631 HIGHWAY 20 W, MCDONOUGH, GA 30253-7311
(770) 288-2822
(770) 692-8177
Mailing address
1631 HIGHWAY 20 W, MCDONOUGH, GA 30253-7311
(770) 288-2822
(770) 692-8177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004088
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238603985A
—
GA
Enumeration date
06/30/2005
Last updated
10/15/2015
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