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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1083670673 NPPES
Georgia Other P00427170 RAILROAD MEDICARE PTAN
Georgia MEDICAID 690335867A RAILROAD MEDICARE PTAN

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