Organization
INNOVATIVEMDGROUP
Active
Other names
drmajimenez.
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES JIMENEZ M.D. (CEO)
(678) 838-6600
Entity
Organization
Contact information
Practice address
3903 SOUTH COBB, SUITE 105, SMYRNA, GA 30080-6370
(678) 838-6600
(770) 438-1477
Mailing address
3390 PEACHTREE RD NE, SUITE 450, ATLANTA, GA 30326-1157
(678) 838-6600
(770) 438-1477
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
052966
GA
208VP0000X
Pain Medicine Physician
065573
GA
Other
Enumeration date
08/12/2011
Last updated
09/23/2011
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