Individual
MARCUS JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 LONGCREEK DR, RIVERDALE, GA 30296-1046
(678) 817-7494
(678) 817-7495
Mailing address
170 LONGCREEK DR, RIVERDALE, GA 30296-1046
(678) 817-7494
(678) 817-7495
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
48058
GA
207L00000X
Anesthesiology Physician
Primary
D47952
MD
Other
Enumeration date
12/07/2005
Last updated
07/11/2023
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