Individual
DAVID RICHARD JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1008 ALABAMA AVENUE, DAUPHIN ISLAND, AL 36528
(251) 861-3050
(251) 861-3055
Mailing address
1008 ALABAMA AVENUE, DAUPHIN ISLAND, AL 36528
(251) 861-3050
(251) 861-3055
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13060
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51006274
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/05/2007
Last updated
12/13/2007
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