INNOVATIVEMDGROUP NPI 1609155357

NPI Information

  • NPI: 1609155357
  • Provider Name: INNOVATIVEMDGROUP
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Doing Business As: DRMAJIMENEZ.
  • Address: 3903 SOUTH COBB
    SUITE 105
    SMYRNA, GA
    ZIP 30080
  • Phone: (678) 838-6600

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NPI Details

INNOVATIVEMDGROUP is an orthopaedic surgery of the spine orthopaedic surgery in Smyrna, GA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. INNOVATIVEMDGROUP NPI is 1609155357. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Drmajimenez..

The provider's business location address is:

3903 SOUTH COBB
SUITE 105
SMYRNA, GA
ZIP 30080-370
Phone: (678) 838-6600
Fax: (770) 438-1477

The provider's authorized official is Andres Jimenez .
The authorized official title is Ceo and has the following contact phone number (678) 838-6600.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 9/23/2011.

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
1208VP0000XPain MedicinePain Medicine065573GEORGIANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine052966GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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