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Jemima Civil

NPI 1083589360 · on the registry since 2025

Practice

Address
100 Commerce Dr Unit 452
Tyrone, GA 30290
Phone
(404) 590-1677
Clinicians at this address
8

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia