Individual
JIMZON TRIA JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4012B BATTLEGROUND AVE STE 1020, GREENSBORO, NC 27410-9296
(336) 564-4341
(336) 288-0373
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04338
NC
Other
Enumeration date
06/24/2013
Last updated
12/03/2018
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