Organization
NORTHERN TRIAD SURGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A JENKINS M.D. (MEMBER)
(336) 634-0095
Entity
Organization
Contact information
Practice address
1818 RICHARDSON DR, STE. E, REIDSVILLE, NC 27320-5451
(336) 634-0095
(336) 616-0320
Mailing address
1818 RICHARDSON DR., STE. E, REIDSVILLE, NC 27320
(336) 634-0095
(336) 616-0320
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200002376723
NC
Other
Enumeration date
04/17/2009
Last updated
07/12/2013
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