Individual
DR. JACK SEBASTIAN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3591
Mailing address
235 RIPPLING LN, WINTER PARK, FL 32789-2841
(407) 346-1728
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17390
GA
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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