Individual
TIMOTHY OWEN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 EAST BLVD, CHARLOTTE, NC 28203-5823
(704) 334-7800
(704) 414-7512
Mailing address
1701 EAST BLVD, CHARLOTTE, NC 28203-5823
(704) 334-7800
(704) 414-7512
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32318
NC
2085R0204X
Vascular & Interventional Radiology Physician
32318
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7945886
—
NC
Enumeration date
05/10/2006
Last updated
12/26/2015
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