Individual
BONNIE P JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 DOGWOOD DR, WAYNESBORO, GA 30830-5445
(706) 437-0046
(706) 437-0546
Mailing address
201 DOGWOOD DR, WAYNESBORO, GA 30830-5445
(706) 437-0046
(706) 437-0546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
045073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00791953C
—
GA
Enumeration date
06/07/2006
Last updated
09/16/2013
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