Individual
LAUREN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15830 BALLANTYNE MEDICAL PL STE 225, CHARLOTTE, NC 28277-0760
(704) 919-1105
(704) 910-3163
Mailing address
15830 BALLANTYNE MEDICAL PL STE 225, CHARLOTTE, NC 28277-0760
(704) 919-1105
(704) 910-3163
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2020-02972
NC
207R00000X
Internal Medicine Physician
LL38128
SC
Other
Enumeration date
05/22/2015
Last updated
06/09/2023
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