Individual
DR. LONNIE CHARLES JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 BOULEVARD NE, SUITE 516, ATLANTA, GA 30312-1200
(404) 265-1235
(404) 265-1217
Mailing address
10051 5TH STREET NORTH, SUITE 200, ST. PETERSBURG, FL 33702-2211
(727) 824-0780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000184324A
—
GA
Enumeration date
01/19/2007
Last updated
12/13/2016
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