Individual
DR. BRIAN LUIS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 ANDREWS AVE, FORT NOVOSEL, AL 36362
(800) 261-7193
Mailing address
301 ANDREWS AVE, FORT NOVOSEL, AL 36362
(800) 261-7193
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
34997
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
07/05/2024
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