Individual
DR. ANGEL LOUIS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2175 NORTH RD, SNELLVILLE, GA 30078-2630
(770) 979-0900
Mailing address
PO BOX 527, SNELLVILLE, GA 30078-0527
(770) 979-0900
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000440
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000157957A
—
GA
01
—
480004616
RAILROAD MEDICARE
GA
Enumeration date
06/08/2005
Last updated
09/22/2009
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