Individual
MS. ROBYN E JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
905 N COURT ST, QUITMAN, GA 31643
(229) 263-8956
(229) 263-4671
Mailing address
PO BOX 148, QUITMAN, GA 31643
(229) 263-8956
(229) 263-4671
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003472
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002868B
—
GA
Enumeration date
07/28/2006
Last updated
04/24/2015
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