Organization
HARVETTE C JENKINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVETTE CARMELLE JENKINS M.D. (OWNER)
(336) 274-5000
Entity
Organization
Contact information
Practice address
4510 PREMIER DR, STE. 101 A, HIGH POINT, NC 27265-8349
(336) 274-5000
(336) 274-5064
Mailing address
4510 PREMIER DR, STE. 101 A, HIGH POINT, NC 27265-8349
(336) 274-5000
(336) 274-5064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129NW
BCBS
NC
05
—
89129NW
—
NC
Enumeration date
06/04/2007
Last updated
05/20/2010
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