Carlos C. Jimenez MD Professional Corporation
NPI #1124216742 in Glen Dale, West Virginia
Provider Information
- NPI Number
- 1124216742
- Entity Type
- Organization
- Organization Name
- Carlos C. Jimenez MD Professional Corporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 9, 2007
- Last Updated
- Dec 11, 2013
Practice Location
- Address
- 1000 WHEELING AVE
- City
- Glen Dale
- State
- West Virginia
- ZIP Code
- 26038-1750
- Phone
- (304) 845-1331
Authorized Official
- Name
- CARLOS C JIMENEZ, MD
- Title
- OWNER
- Phone
- (304) 845-1331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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