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Individual

DR. MACK ADAM JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2053
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2005-00517
NC
207P00000X
Emergency Medicine Physician
Primary
41557
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514949
TN
01
P01163443
RAILROAD MEDICARE
TN
Enumeration date
03/31/2006
Last updated
04/23/2025
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