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Individual

MR. JAIME F RECASENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1008 N 3RD AVE, CHATSWORTH, GA 30705-2118
(706) 517-2273
(706) 517-2469
Mailing address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-5608
(706) 374-7628

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050055
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003182742C
GA
Enumeration date
09/09/2005
Last updated
09/08/2022
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