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Individual

ROBERT A JENKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 18TH ST, COLUMBUS, GA 31901-1524
(706) 649-6600
(706) 649-6614
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 660-6148
(706) 660-2843

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
035663
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003140760A
MEDICAID-OFFICE
GA
01
154876
MEDICAID-OFFICE
AL
01
52027867-003
BCBS
GA
01
601-11881
BCBS
AL
Enumeration date
02/28/2006
Last updated
09/04/2014
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