Provider Demographics
NPI:1194017988
Name:JINKINS, ROGER EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:EUGENE
Last Name:JINKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WOOD DUCK ROAD
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-7105
Mailing Address - Country:US
Mailing Address - Phone:843-671-7346
Mailing Address - Fax:843-671-5836
Practice Address - Street 1:23 WOOD DUCK ROAD
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-7105
Practice Address - Country:US
Practice Address - Phone:843-671-7346
Practice Address - Fax:843-671-5836
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCMD120912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology