A. LOUIS JIMENEZ, D.P.M., P.C.; NPI #1205910528

Contact Information

A. LOUIS JIMENEZ, D.P.M., P.C.

2175 NORTH RD
SNELLVILLE, GA 30078-2630

Phone: 770-979-0900
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for A. LOUIS JIMENEZ, D.P.M., P.C.

NPI Number 1205910528

LBN Legal business name A. LOUIS JIMENEZ, D.P.M., P.C.

Authorized official A JIMENEZ - (ADMINISTRATOR/PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/24/2006

Last updated 12/17/2007 - About 18 years ago

Identifiers

GA	License #	111126ASCA
	Other	GRP4587	MEDICARE GROUP
GA	Other	CM4891	RAILROAD MEDICARE PIN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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