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JIMAL ROMANE DEAS

Individual Provider (NPI-1) Active

Preventive Medicine, Sports Medicine

Provider Information

NPI Number
1306615141
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
3075 JONQUIL DR SE, SMYRNA, GA, 300803719
Phone
(803) 720-9353

Specialties & Taxonomies

Preventive Medicine, Sports Medicine License: SC #MAS.6263
Preventive Medicine, Sports Medicine Primary License: GA #MT009726

All Addresses

MAILING

808 SUMMIT FOREST DR

MARIETTA, GA, 300686071

(803) 316-8655

LOCATION

3075 JONQUIL DR SE

SMYRNA, GA, 300803719

(803) 720-9353