Justin Jimenez, PAS

NPI #1174354013 in Fort Eisenhower, Georgia

Provider Information

NPI Number: 1174354013
Entity Type: Individual
Name: Justin Jimenez, PAS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PAS
Enumeration Date: Aug 12, 2024
Last Updated: Aug 12, 2024

Practice Location

Address: 300 E HOSPITAL ROAD
City: Fort Eisenhower
State: Georgia
ZIP Code: 30905-5650
Phone: (706) 787-1745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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