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Individual
EVERETTE EARL JENKINS JR.
Active
Individual
EVERETTE EARL JENKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
8250
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
8250
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082500
—
SC
01
—
25942
MEDCOST
—
Enumeration date
08/19/2005
Last updated
02/20/2012
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