Organization Name: | A. LOUIS JIMENEZ, DPM, PC |
NPI Number: | 1881912178 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | A. LOUIS JIMENEZ (OWNER) |
Mailing Address: | 115 Towne Center Pkwy Hoschton |
State: | GA US |
Postal Code: | 305482213 |
Phone Number: | 7066582452 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2010 |
NPI Last Update Date: | 05/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |