Christine Carol Jiminez, Pa
Physician Assistant, Medical in Atlanta, GA. Individual provider (NPI-1).
NPI number1376996702
StatusActive
Last updated in NPPESJul 21, 2016
Details
- NPI
- 1376996702
- Entity type
- Individual (NPI-1)
- Name
- Christine Carol Jiminez
- Credential
- Pa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2016
- Last updated
- Jul 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 002894 | GA | Yes |
Practice location
901 Rice St NwAtlanta, GA 30318-4938
Phone 404-613-2022 · Fax 404-893-6641
Mailing address
304 Fairdale TrceStockbridge, GA 30281-7784
Phone 678-856-9526
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