Provider Demographics
NPI:1770589475
Name:RHYMES, JILL ANN (MD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:ANN
Last Name:RHYMES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:531 HARKLE RD
Mailing Address - Street 2:STE B
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4753
Mailing Address - Country:US
Mailing Address - Phone:505-983-9622
Mailing Address - Fax:505-983-9644
Practice Address - Street 1:531 HARKLE RD
Practice Address - Street 2:STE B
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4753
Practice Address - Country:US
Practice Address - Phone:505-983-9622
Practice Address - Fax:505-983-9644
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2016-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM2003-0148207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM58424873Medicaid
NM58424873Medicaid
NM349328001Medicare PIN