Individual
JIMAL ROMANE DEAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3075 JONQUIL DR SE, SMYRNA, GA 30080-3719
(803) 720-9353
Mailing address
808 SUMMIT FOREST DR, MARIETTA, GA 30068-6071
(803) 316-8655
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
MAS.6263
SC
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
MT009726
GA
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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