Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Jimenez, PAS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174354013

Justin Jimenez, PAS is a Student in an Organized Health Care Education/Training Program in Fort Eisenhower, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

300 E Hospital Rd
Fort Eisenhower, GA 30905-5650
Phone: (706) 787-1745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1174354013
Entity typeIndividual (Type 1)
GenderMale
Credentials PAS
Sole proprietorYes
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 7, 2024
Mailing address300 E Hospital Rd, Fort Gordon, GA 30905

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