Individual
MR. JOSE E DE LIMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342
(404) 851-6323
(404) 303-3747
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7793
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
058461
GA
2085R0202X
Diagnostic Radiology Physician
MD32677
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452513262BL
—
GA
Enumeration date
08/21/2006
Last updated
05/08/2019
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