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Contact Information

ROBYN E JIMENEZ, PAC
905 N COURT ST
QUITMAN, GA31643
 Phone: 229-263-8956
 Fax: 229-263-4671
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROBYN E JIMENEZ · (Female)

NPI # 1437163979
Status Active
Credentials PAC
Entity Individual
Enumeration date 07/28/2006
Last updated 04/24/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 003472
  • GA Medicaid 100002868B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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