Organization
LONNIE C. JENKINS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE JENKINS (CHIEF FINANCIAL OFFICER)
(404) 265-1235
Entity
Organization
Contact information
Practice address
315 BOULEVARD NE, SUITE 516, ATLANTA, GA 30312
(404) 265-1235
(404) 265-1217
Mailing address
315 BOULEVARD NE, SUITE 516, ATLANTA, GA 30312
(404) 265-1235
(404) 265-1217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000184324A
—
GA
Enumeration date
06/17/2011
Last updated
06/17/2011
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