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Individual
MARY BUFFINGTON JENKINS
Active
Individual
MARY BUFFINGTON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20728
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721065
MS BCBS
WV
05
—
1225017874
—
WV
05
—
2001307000
—
WV
01
—
4592027
AETNA
WV
01
—
P00017537
RR MEDICARE
WV
Enumeration date
01/12/2006
Last updated
07/24/2023
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