Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 0101246962 | VA |
Y | 207RG0100X | Gastroenterologist | 26673 | NC |
NPI | 1023085016 |
---|---|
Provider Name | Alma Faye Jenkins |
First Address | Mount Olive, NC 28365-1603 |
Second Address | Mount Olive, NC 28365-1603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 18/03/2010 |