Organization
JUANITA G TRIMOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUANITA G TRIMOR MD (PHYSICIAN)
(706) 228-2597
Entity
Organization
Contact information
Practice address
1232 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1854
(706) 228-2597
(706) 228-2598
Mailing address
1232 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1854
(706) 228-2597
(706) 228-2598
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
040579
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000758205A
—
GA
Enumeration date
05/07/2009
Last updated
01/19/2012
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