person
Jorge Roberto Menjivar, NP-C
Family Nurse Practitioner in Mcdonough, Georgia
NPI 1740721521

Jorge Roberto Menjivar is a Family Nurse Practitioner based in Mcdonough, GA and is specialized in Family. Jorge Roberto Menjivar practices in Mcdonough, GA and has the professional credentials of NP-C. The NPI Number for Jorge Roberto Menjivar is 1740721521 and holds a License No. RN204394 (Georgia).

The current practice location address for Jorge Roberto Menjivar is 105 Honey Ln, Mcdonough, GA and can be reached out via phone at 803-873-8626 and via fax at 803-878-8099.

Location: 105 Honey Ln, Mcdonough, GA, 30252-6633
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Provider Profile Details
NPI Number
1740721521
Provider Name
Jorge Roberto Menjivar
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
105 Honey Ln, Mcdonough, GA, 30252-6633
Phone Number
803-873-8626
Fax Number
803-878-8099
Provider Enumeration Date
03/14/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN204394 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
105 Honey Ln
City
State
Zip
30252-6633
Phone Number
803-873-8626
Fax Number
803-878-8099
person
Provider Business Mailing Address Details
Address
105 Honey Ln
City
State
Zip
30252-6633
Phone Number
803-873-8626
Fax Number
803-878-8099
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN204394 (Georgia)
Definition
Definition to come...
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