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JUANITA G TRIMOR MD PC NPI 1437383247


NPI Information

NPI: 1437383247
Provider Name: JUANITA G TRIMOR MD PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1232 AUGUSTA WEST PKWY
AUGUSTA, GA
ZIP 30909
Phone: (706) 228-2597
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JUANITA G TRIMOR MD PC is a primary care clinic center in Augusta, GA. JUANITA G TRIMOR MD PC NPI is 1437383247. The provider is registered as an organization entity type.

The provider's business location address is:

1232 AUGUSTA WEST PKWY
AUGUSTA, GA
ZIP 30909-854
Phone: (706) 228-2597
Fax: (706) 228-2598

The provider's authorized official is Juanita G Trimor .
The authorized official title is Physician and has the following contact phone number (706) 228-2597.

The enumeration date for this NPI number is 5/7/2009 and was last updated on 1/19/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care040579GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108BDNGJMEDICARE UPINGEORGIA
2000758205AMEDICAIDGEORGIA

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: 4/28/2024

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