Individual
DR. JOHN EDWARD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 E WENDOVER AVE FL 4, GREENSBORO, NC 27401-1229
(336) 663-5038
(336) 663-5367
Mailing address
300 E WENDOVER AVE FL 4, GREENSBORO, NC 27401-1229
(336) 663-5038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34361
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144
PARTNERS MEDICARE
NC
01
—
39862
MEDCOST
NC
01
—
4135031
AETNA
NC
01
—
45892
BCBS NC
NC
05
—
8945892
—
NC
Enumeration date
04/14/2006
Last updated
03/06/2018
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