Individual
MICHAEL BURTON JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-9100
(864) 833-9458
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38521
SC
208M00000X
Hospitalist Physician
Primary
38521
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385210
—
SC
01
—
SC6138
MEDICARE
SC
Enumeration date
04/20/2012
Last updated
06/01/2021
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