IndividualActive
Jimal Deas
NPI 1306615141 · Sports Medicine (Preventive Medicine) Physician · Smyrna, GA
Provider details
- NPI number
- 1306615141
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
- License
- MAS.6263 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3075 Jonquil Dr Se
Smyrna, GA 30080-3719
Phone: (803) 720-9353
Approximate (ZIP-level) locationGet directions
Mailing address
808 Summit Forest Dr
Marietta, GA 30068-6071
Additional practice locations (2)
- 3201 Cains Hill Pl NwAtlanta, GA 30305-1809Phone: (803) 720-9353
- 840 Franklin Ct Se Ste 300Marietta, GA 30067-8933Phone: (803) 720-9353
Registry dates
- Enumerated
- 2023-12-21
- Last updated
- 2023-12-21
- Certified
- 2023-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.