Organization
LOVEJOY FAMILY PRACTICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA JENKINS APRN FNP-BC (OWNER PROVIDER)
(678) 545-6775
Entity
Organization
Contact information
Practice address
1883 MCDONOUGH RD, SUITE 200-D, HAMPTON, GA 30228-3516
(678) 545-6775
Mailing address
962 FOREST GLN, JONESBORO, GA 30238-8829
(678) 545-6775
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RN128161
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109743A
—
GA
01
—
1114058203
PROVIDER NPI
—
Enumeration date
06/17/2014
Last updated
06/17/2014
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