Individual
DR. TYLER HUNTINGTON-READE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3344 PINELAND RD SW, ROANOKE, VA 24018-2152
(910) 551-9429
Mailing address
3344 PINELAND RD SW # SWW, ROANOKE, VA 24018-2152
(910) 551-9429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102203114
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2010
Last updated
10/18/2022
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