JIMAL ROMANE DEAS NPI 1306615141

NPI Information

NPI: 1306615141
Provider Name: JIMAL ROMANE DEAS
Classification: Preventive Medicine - 2083S0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
3075 JONQUIL DR SE
SMYRNA, GA
ZIP 30080
Phone: (803) 720-9353
Get Directions

Jimal Romane Deas is a sports medicine preventive medicine in Smyrna, GA. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. Jimal Romane Deas NPI is 1306615141. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3075 JONQUIL DR SE
SMYRNA, GA
ZIP 30080-719
Phone: (803) 720-9353

The enumeration date for this NPI number is 12/21/2023 and was last updated on 12/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083S0010X	Preventive Medicine	Sports Medicine	MAS.6263	SOUTH CAROLINA	No
2	2083S0010X	Preventive Medicine	Sports Medicine	MT009726	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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