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Contact Information

JUAN L PIMENTEL JR, MD
1000 COWLES CLINIC WAY STE CY-300
GREENSBORO, GA30642
 Phone: 706-410-2111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JUAN L PIMENTEL JR · (Male)

NPI # 1215923149
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2005
Last updated 06/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 031547
  • GA Medicaid 000702281G
  • GA Other 390006879 MEDICARE RAILROAD
Hospital affiliation(s)
  • DEKALB MEDICAL CENTER - (Acute Care)
    2701 N DECATUR ROAD
    DECATUR, GA 30033
  • DEKALB MEDICAL CENTER AT HILLANDALE - (Acute Care)
    2801 DEKALB MEDICAL PARKWAY
    LITHONIA, GA 30058
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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