| Christopher L. Jenkins, M.d., L.l.c. | |
|
576 Azalea Rd Suite 105 Mobile AL 36609-1516 | |
| (251) 665-5360 | |
| (251) 665-5361 |
| Full Name | Christopher L. Jenkins, M.d., L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 576 Azalea Rd, Mobile, Alabama |
| Authorized Official Name and Position | Christopher Lacy Jenkins (OWNER) |
| Authorized Official Contact | 2516505360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher L. Jenkins, M.d., L.l.c. 576 Azalea Rd Suite 105 Mobile AL 36609-1516 Ph: (251) 665-5360 | Christopher L. Jenkins, M.d., L.l.c. 576 Azalea Rd Suite 105 Mobile AL 36609-1516 Ph: (251) 665-5360 |
| NPI Number | 1245444009 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 06/15/2013 |
| Medicare PECOS PAC ID | 1456325547 |
|---|---|
| Medicare Enrollment ID | O20040824000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245444009 | NPI | - | NPPES |
| 051550204 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21736 (Alabama) | Primary |
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