NPI 1003308594

Patrina Jimmerson

Practitioner Contractor Leesburg, GA

Practice location

Address: 212 Leslie Hwy, Leesburg, GA 31763-4337
Phone: (229) 603-0259

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1003308594
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2018
Record last updated: 31 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.