Individual
BARRY J JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1348 WALTON WAY STE 6500, AUGUSTA, GA 30901-5111
(706) 722-2118
(706) 722-0342
Mailing address
1348 WALTON WAY STE 6500, AUGUSTA, GA 30901-5111
(706) 722-2118
(706) 722-0342
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
53249
GA
208C00000X
Colon & Rectal Surgery Physician
Primary
53249
GA
Other
Enumeration date
12/21/2006
Last updated
11/16/2021
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