Individual
CHRISTOPHER RYAN JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 TOWN PARK BLVD, EVANS, GA 30809-3487
(706) 854-2500
(706) 854-2559
Mailing address
PO BOX 1758, EVANS, GA 30809-1758
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
87917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003252094A
—
GA
Enumeration date
03/20/2018
Last updated
01/30/2024
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