Individual
CHRISTOPHER LACY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
576 AZALEA RD, SUITE 105, MOBILE, AL 36609-1516
(251) 665-5360
(251) 665-5361
Mailing address
576 AZALEA RD, SUITE 105, MOBILE, AL 36609-1516
(251) 665-5360
(251) 665-5361
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00021736
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051550204
—
AL
01
—
4479981
CIGNA
AL
01
—
51550204
BCBS AL
AL
01
—
AETNA
7957202
AL
Enumeration date
10/27/2005
Last updated
03/07/2023
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