| NPI | 1205910528 |
|---|---|
| Doing Business As | JIMENEZ FOOT, ANKLE & LEG AMBULATORY SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | A LOUIS JIMENEZ Administrator/Physician 770-979-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 111126ASCA) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-12-17 |