Provider Demographics
NPI:1356837348
Name:QUINONES-BORGES, JAMIE AILED (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:AILED
Last Name:QUINONES-BORGES
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:447 N HIGHLAND AVE NE APT 20
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-1459
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7820 HICKORY FLAT HWY
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-2099
Practice Address - Country:US
Practice Address - Phone:678-672-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2019-06-19
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant