Provider Demographics
NPI:1245710177
Name:SIRMANS, JENNA LEE (MD)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:LEE
Last Name:SIRMANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 INTERCHANGE DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-7664
Mailing Address - Country:US
Mailing Address - Phone:912-527-5352
Mailing Address - Fax:912-756-5291
Practice Address - Street 1:89 INTERCHANGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-7664
Practice Address - Country:US
Practice Address - Phone:912-527-5352
Practice Address - Fax:912-756-5291
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA100589208000000X
FLTRN28625208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics