NPI Index

BOLIVIA TRACI JENKINS, MD

Family Medicine

Active Individual
NPI: 1275111304

Practice Address

1005 BOULDER DR
Gray, GA 31032

Phone: (478) 621-2072

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 99763 (GA)

Frequently Asked Questions

NPI 1275111304 is the National Provider Identifier for BOLIVIA TRACI JENKINS, MD, a Family Medicine provider located in Gray, GA. This NPI was enumerated on March 30, 2021.
BOLIVIA TRACI JENKINS, MD practices at 1005 BOULDER DR, Gray, GA 31032.

Quick Facts

NPI
1275111304
Type
Individual
Enumerated
Mar 30, 2021
Last Updated
Aug 15, 2024

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