Individual
MR. JOHN F JENKINS
Active
Individual
MR. JOHN F JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002828
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934998
—
AL
05
—
100001446B
—
GA
01
—
970012219
RAILROAD MEDICARE
GA
Enumeration date
06/14/2006
Last updated
06/10/2019
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