Individual
MARK A JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 355-6615
(912) 351-0645
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3637
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
050027
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000904329A
—
GA
01
—
20041000
RAILROAD MEDICARE
—
Enumeration date
05/15/2006
Last updated
05/31/2019
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