Individual
ERNESTO JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1880 AMHERST ST STE 310, WINCHESTER, VA 22601-2808
(540) 536-6721
(540) 536-6724
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101271499
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250646700
—
FL
Enumeration date
07/06/2006
Last updated
09/23/2021
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