Individual
ROBERT CHARLES JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
89 MAIN ST, MIDDLEBURY, VT 05753-1459
(802) 388-6751
Mailing address
221 ROSCOE RD, CHARLOTTE, VT 05445-9175
(802) 425-2497
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0420006257
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004518
—
VT
01
—
VT4518
MEDICARE ID - TYPE UNSPECIFIED
VT
Enumeration date
03/08/2007
Last updated
02/08/2012
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