Individual
CHRISTINE CAROL JIMINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
901 RICE ST NW, ATLANTA, GA 30318-4938
(404) 613-2022
(404) 893-6641
Mailing address
304 FAIRDALE TRCE, STOCKBRIDGE, GA 30281-7784
(678) 856-9526
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002894
GA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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