Individual
PHILIP ROSS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
401 MULBERRY ST SW STE 102, LENOIR, NC 28645-5463
(828) 757-6434
(828) 757-6435
Mailing address
401 MULBERRY ST SW STE 102, LENOIR, NC 28645-5463
(828) 757-6434
(828) 757-6435
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890803Y
—
NC
Enumeration date
12/22/2005
Last updated
03/19/2021
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