Individual
TRACY LYNN JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3650 STEVE REYNOLDS BOUL, PEDIATRICS HEALTH CARE TEAM A, DULUTH, GA 30096
(770) 931-6012
Mailing address
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057661
GA
208000000X
Pediatrics Physician
35081121
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2388036
—
OH
Enumeration date
09/19/2005
Last updated
07/08/2007
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