Individual
EDGAR JOHN JIMENEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 DOCTORS DR, SUITE 2, HENDERSONVILLE, NC 28792-7290
(828) 654-6001
(828) 654-6007
Mailing address
PO BOX 1869, FLETCHER, NC 28732-1869
(828) 687-6282
(828) 687-6285
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31307
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89133KH
—
NC
Enumeration date
07/20/2005
Last updated
07/08/2007
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