Individual
JEFFREY S. TRIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2000 HOWARD FARM DR STE 320, CUMMING, GA 30041-6082
(404) 847-4180
(404) 250-8099
Mailing address
NORTHSIDE HOSPITAL- MANAGED CARE DEPT, 1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 300-2476
(404) 250-8010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002532
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807183998A
—
GA
Enumeration date
02/23/2006
Last updated
01/23/2019
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