| Bonnie P Jenkins Md Pc | |
|
201 Dogwood Drive Waynesboro GA 30830 | |
| (706) 437-0046 | |
| (706) 437-0546 |
| Full Name | Bonnie P Jenkins Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Dogwood Drive, Waynesboro, Georgia |
| Authorized Official Name and Position | Christie G Radford (OFFICE MANAGER) |
| Authorized Official Contact | 7064370046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie P Jenkins Md Pc 201 Dogwood Drive Waynesboro GA 30830 Ph: (706) 437-0046 | Bonnie P Jenkins Md Pc 201 Dogwood Drive Waynesboro GA 30830 Ph: (706) 437-0046 |
| NPI Number | 1184814519 |
|---|---|
| Provider Enumeration Date | 08/01/2007 |
| Last Update Date | 10/14/2013 |
| Medicare PECOS PAC ID | 1759407281 |
|---|---|
| Medicare Enrollment ID | O20100922000098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184814519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bonnie P Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861432916 PECOS PAC ID: 7810011806 Enrollment ID: I20100827000143 |
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