Lonnie C. Jenkins Md Pc | |
315 Boulevard Ne Suite 516 Atlanta GA 30312 | |
(404) 265-1235 | |
(404) 265-1217 |
Full Name | Lonnie C. Jenkins Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 315 Boulevard Ne, Atlanta, Georgia |
Authorized Official Name and Position | Darlene Jenkins (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 4042651235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lonnie C. Jenkins Md Pc 315 Boulevard Ne Suite 516 Atlanta GA 30312 Ph: (404) 265-1235 | Lonnie C. Jenkins Md Pc 315 Boulevard Ne Suite 516 Atlanta GA 30312 Ph: (404) 265-1235 |
NPI Number | 1306131396 |
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Provider Enumeration Date | 06/17/2011 |
Last Update Date | 06/17/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306131396 | NPI | - | NPPES |
000184324A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 017209 (Georgia) | Primary |
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