Miguel A Jimenez, MD | |
3903 S Cobb Dr Se, Suite 105, Smyrna, GA 30080-6342 | |
(678) 838-6600 | |
(770) 438-1477 |
Full Name | Miguel A Jimenez |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
Location | 3903 S Cobb Dr Se, Smyrna, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649204751 | NPI | - | NPPES |
615972752B | Medicaid | GA | |
52062173008 | Other | GA | BCBS AUSTELL ID |
805775515A | Medicaid | GA | |
52062173007 | Other | GA | BCBS CARTERSVILLE ID |
615972752A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0117X | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine | 52966 (Georgia) | Primary |
Entity Name | American Spine & Orthopaedic Institute, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891189973 PECOS PAC ID: 9032495213 Enrollment ID: O20170425000868 |
Mailing Address | Practice Location Address |
---|---|
Miguel A Jimenez, MD 3280 Pointe Pkwy Ste 2550, Norcross, GA 30092-3473 Ph: (877) 877-7411 | Miguel A Jimenez, MD 3903 S Cobb Dr Se, Suite 105, Smyrna, GA 30080-6342 Ph: (678) 838-6600 |
Frederick P Wener, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3969 South Cobb Drive, Suite 108, Smyrna, GA 30080 Phone: 770-436-0041 Fax: 770-436-0335 | |
Andrew H Milby, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3903 S Cobb Dr Se, Smyrna, GA 30080 Phone: 404-778-3350 Fax: 404-778-6548 | |
Dr. Nina Suh, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3903 S Cobb Dr Se Ste 275, Smyrna, GA 30080 Phone: 404-251-2119 Fax: 404-251-2104 | |
W. Joseph Absi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4485 S Cobb Dr Se Ste 100, Smyrna, GA 30080 Phone: 404-768-1133 Fax: 404-768-0309 |