Jimenez, Margo Angela
Jimenez, Margo Angela is an individual health care provider with primary practice located at 2295 Parklake Dr Ne Ste 150 , Atlanta GA 30345-2825. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Jimenez, Margo Angela can be contacted via phone (770) 938-5974.Contact Information
Primary practice address
2295 Parklake Dr Ne Ste 150
Atlanta GA 30345-2825
Phone: (770) 938-5974
Fax: (770) 939-4450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD001017 | Georgia |
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | POD001017 | Georgia |
Profile Details
NPI number | 1083670673 |
---|---|
LBN Legal business name | Jimenez, Margo Angela |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 24th, 2006 |
Last updated | Feb 19th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083670673 | NPPES |
Georgia | Other | P00427170 | RAILROAD MEDICARE PTAN |
Georgia | MEDICAID | 690335867A | RAILROAD MEDICARE PTAN |
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