Jimenez, Miguel A

Jimenez, Miguel A is an sole proprietor health care provider with primary practice located at 3903 S Cobb Dr Se Suite 105, Smyrna GA 30080-6342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Jimenez, Miguel A can be contacted via phone (678) 838-6600.

Contact Information

Primary practice address
3903 S Cobb Dr Se Suite 105 Smyrna GA 30080-6342
Phone: (678) 838-6600
Fax: (770) 438-1477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 52966 Georgia

Profile Details

NPI number 1649204751
LBN Legal business name Jimenez, Miguel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Oct 31st, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649204751 NPPES
Georgia MEDICAID 615972752B
Georgia Other 52062173008
Georgia MEDICAID 805775515A
Georgia Other 52062173007
Georgia MEDICAID 615972752A

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