Jenkins, Walter Thomas

Jenkins, Walter Thomas is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jenkins, Walter Thomas can be contacted via phone (770) 297-2200.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 297-2200
Fax: (770) 534-8139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 015385 Georgia

Profile Details

NPI number 1417927518
LBN Legal business name Jenkins, Walter Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 26th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417927518 NPPES
Georgia MEDICAID 000153777C
Georgia Other 10050576
Georgia Other 0700332
Georgia Other 160029720
Georgia Other 1619821
Georgia MEDICAID 000153777H
Georgia MEDICAID 000153777I
Georgia Other 340855
Georgia Other 52348753

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