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Organization
GMGP HEALTH GROUP LLC
Active
Organization
GMGP HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH JENKINS MD (PRESIDENT)
(336) 816-2589
Entity
Organization
Contact information
Practice address
1401 JOHNSTON WILLIS DR, NORTH CHESTERFIELD, VA 23235-4730
(336) 816-2589
Mailing address
2420 MAPLEWOOD AVE STE G, RICHMOND, VA 23220-5700
(336) 816-2589
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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