Individual
RANDOLPH MITCHELL JENKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
(804) 504-8100
Mailing address
95 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9280
(804) 504-8100
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0101261201
VA
Other
Enumeration date
04/12/2015
Last updated
05/18/2022
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