Individual
DR. CHAD ANTHONY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Mailing address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
94153
GA
207L00000X
Anesthesiology Physician
MD.36216
AL
207L00000X
Anesthesiology Physician
ME107519
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002460300
—
FL
01
—
1490L
BCBS FLORIDA
FL
01
—
593-05179
BBS ALABAMA
AL
01
—
P00875982
MEDICARE RAILROAD
FL
Enumeration date
11/20/2007
Last updated
08/19/2025
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