Individual
JUAN LUIS PIMENTEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 COWLES CLINIC WAY STE CY-300, GREENSBORO, GA 30642
(706) 410-2111
Mailing address
1000 COWLES CLINIC WAY STE CY300, GREENSBORO, GA 30642-5285
(706) 410-2111
(770) 981-0208
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
031547
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000702281G
—
GA
01
—
390006879
MEDICARE RAILROAD
GA
Enumeration date
09/26/2005
Last updated
06/17/2024
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