Healthcare Provider Details

I. General information

NPI: 1215415955
Provider Name (Legal Business Name): ARLEEN RAMIREZ JIMENEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 N PATTERSON ST
VALDOSTA GA
31602-2512
US

IV. Provider business mailing address

2409 N PATTERSON ST
VALDOSTA GA
31602-2512
US

V. Phone/Fax

Practice location:
  • Phone: 229-433-8160
  • Fax: 229-244-2707
Mailing address:
  • Phone: 229-433-8160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number34170
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: