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A. Louis Jimenez, D.p.m., P.c.
Ambulatory Surgical Clinic/Center in Snellville, Georgia
NPI 1205910528

A. Louis Jimenez, D.p.m., P.c. is an Ambulatory Surgical Clinic/Center based in Snellville, GA and is specialized in Ambulatory Surgical. A. Louis Jimenez, D.p.m., P.c. practices in Snellville, GA. The NPI Number for A. Louis Jimenez, D.p.m., P.c. is 1205910528 and holds a License No. 111126ASCA (Georgia).

The current practice location address for A. Louis Jimenez, D.p.m., P.c. is 2175 North Rd, Snellville, GA and can be reached out via phone at 770-979-0900.

Location: 2175 North Rd, Snellville, GA, 30078-2630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205910528
Provider Name
A. Louis Jimenez, D.p.m., P.c.
Credential
Provider Entity Type
Organization
Address
2175 North Rd, Snellville, GA, 30078-2630
Phone Number
770-979-0900
Fax Number
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP4587 01 MEDICARE GROUP
CM4891 01 GA RAILROAD MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
2175 North Rd
City
Snellville
State
Georgia
Zip
30078-2630
Phone Number
770-979-0900
Fax Number
person
Provider Business Mailing Address Details
Address
2175 North Rd
City
Snellville
State
Georgia
Zip
30078-2630
Phone Number
770-979-0900
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
111126ASCA (Georgia)
Definition
Definition to come...
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