Patrina Jimmerson

NPI #1003308594 in Leesburg, Georgia

Provider Information

NPI Number: 1003308594
Entity Type: Individual
Name: Patrina Jimmerson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: May 31, 2018
Last Updated: May 31, 2018

Practice Location

Address: 212 LESLIE HWY
City: Leesburg
State: Georgia
ZIP Code: 31763-4337
Phone: (229) 603-0259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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