Individual
DR. MARK A JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 RICHARDSON DR, SUITE E, REIDSVILLE, NC 27320-5451
(336) 634-0095
(336) 616-0320
Mailing address
1818 RICHARDSON DR, SUITE E, REIDSVILLE, NC 27320-5451
(336) 634-0095
(336) 616-0320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9400533
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001733
MEDICARE
NC
01
—
45870
BCBS
NC
01
—
8284
PARTNERS MEDICARE CHOICE
NC
05
—
8945870
—
NC
Enumeration date
07/27/2006
Last updated
08/17/2021
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