Organization
LARRY P JENKINS MD PA
Active
Other names
Stanly County Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY PARKER JENKINS MD (PRESIDENT PHYSICIAN)
(704) 983-1102
Entity
Organization
Contact information
Practice address
923 N 2ND STREET, SUITE 103, ALBEMARLE, NC 28001-3367
(704) 983-1102
(704) 983-2503
Mailing address
923 N 2ND STREET, SUITE 103, ALBEMARLE, NC 28001-3367
(704) 983-1102
(704) 983-2503
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17874
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138190001
DMERC
NC
01
—
1356345169
NPI INDIVIDUAL
NC
01
—
45887
BLUE CROSS BLUE SHIELD
NC
05
—
8945887
—
NC
Enumeration date
01/03/2007
Last updated
09/03/2008
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