Pimentel, Juan Luis

Pimentel, Juan Luis is an individual health care provider with primary practice located at 1000 Cowles Clinic Way Ste Cy-300 , Greensboro GA 30642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Pimentel, Juan Luis can be contacted via phone (706) 410-2111.

Contact Information

Primary practice address
1000 Cowles Clinic Way Ste Cy-300 Greensboro GA 30642
Phone: (706) 410-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 031547 Georgia

Profile Details

NPI number 1215923149
LBN Legal business name Pimentel, Juan Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jun 17th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215923149 NPPES
Georgia MEDICAID 000702281G
Georgia Other 390006879

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