Individual
OLIVER H JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 PEACHTREE ST, JESUP, GA 31545
(912) 427-7790
(912) 427-7707
Mailing address
320 PEACHTREE ST, JESUP, GA 31545-0244
(912) 427-7790
(912) 427-7707
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35078360
OH
207Y00000X
Otolaryngology Physician
Primary
79451
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2181035
—
OH
01
—
P00081655
RRMC
OH
Enumeration date
08/10/2005
Last updated
05/02/2019
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