Individual
GEORGE M JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 N GRAND AVE, OKMULGEE, OK 74447-4036
(918) 284-6958
(918) 759-9989
Mailing address
211 N GRAND AVE, OKMULGEE, OK 74447-4036
(918) 284-6958
(918) 759-9989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2050
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112190A
—
OK
Enumeration date
11/15/2006
Last updated
09/23/2013
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