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Individual

KRISTOPHER K MCJENKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 BASS PLANTATION DR, APT 607, MACON, GA 31210-5735
(770) 355-2152
(770) 355-2152
Mailing address
535 COLISEUM DR STE B, MACON, GA 31217-0106

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6086
GA

Other

Enumeration date
06/11/2013
Last updated
09/19/2016
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