Organization
A. LOUIS JIMENEZ, D.P.M., P.C.
Active
Other names
Jimenez Foot, Ankle & Leg Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A LOUIS JIMENEZ DPM (ADMINISTRATOR/PHYSICIAN)
(770) 979-0900
Entity
Organization
Contact information
Practice address
2175 NORTH RD, SNELLVILLE, GA 30078-2630
(770) 979-0900
Mailing address
2175 NORTH RD, SNELLVILLE, GA 30078-2630
(770) 979-0900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
111126ASCA
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM4891
RAILROAD MEDICARE PIN
GA
01
—
GRP4587
MEDICARE GROUP
—
Enumeration date
10/24/2006
Last updated
12/17/2007
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