person
Mirna Jacob-pintro, PA-C
Medical Physician Assistant in Marietta, Georgia
NPI 1528027539

Mirna Jacob-pintro is a Medical Physician Assistant based in Marietta, GA and is specialized in Medical. Mirna Jacob-pintro practices in Marietta, GA and has the professional credentials of PA-C. The NPI Number for Mirna Jacob-pintro is 1528027539 and holds a License No. 003846 (Georgia).

The current practice location address for Mirna Jacob-pintro is 55 Whitcher St Ne, Marietta, GA and can be reached out via phone at 770-424-6893 and via fax at 770-528-9926.

Location: 55 Whitcher St Ne, Marietta, GA, 30060-1155
person
Provider Profile Details
NPI Number
1528027539
Provider Name
Mirna Jacob-pintro
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
55 Whitcher St Ne, Marietta, GA, 30060-1155
Phone Number
770-424-6893
Fax Number
770-528-9926
Provider Enumeration Date
03/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100002775E 05 GA
100002775F 05 GA
100002775G 05 GA
100002775C 05 GA
100002775D 05 GA
institution
Provider Business Practice Location Address Details
Address
55 Whitcher St Ne
City
State
Zip
30060-1155
Phone Number
770-424-6893
Fax Number
770-528-9926
person
Provider Business Mailing Address Details
Address
55 Whitcher St Ne
City
State
Zip
30060-1155
Phone Number
770-424-6893
Fax Number
770-528-9926
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003846 (Georgia)
Definition
Definition to come...
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