Individual provider · Type 1 NPI
Jimal Romane Deas
Sports Medicine (Preventive Medicine) Physician · Smyrna, GA
NPI number
1306615141
Active
Practice location
3075 Jonquil Dr SE
Smyrna, GA 30080-3719
Mailing address
808 Summit Forest Dr
Marietta, GA 30068-6071
Other practice locations
- 3201 Cains Hill Pl NW, Atlanta, GA 30305-1809 · (803) 720-9353
- 840 Franklin Ct SE Ste 300, Marietta, GA 30067-8933 · (803) 720-9353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | MAS.6263 (SC) |
| Sports Medicine (Preventive Medicine) Physician Primary | 2083S0010X | MT009726 (GA) |
Sports Medicine (Preventive Medicine) Physician: A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
About NPI 1306615141
Jimal Romane Deas's National Provider Identifier is 1306615141, issued on Dec 21, 2023. The primary taxonomy on file is Sports Medicine (Preventive Medicine) Physician (2083S0010X), and the practice location is in Smyrna, GA. The record was last updated on Dec 21, 2023.