Individual
DR. GERALD P. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN
Contact information
Practice address
634 PEACHTREE PKWY, SUITE 210, CUMMING, GA 30041-9782
(678) 513-7676
(770) 844-0561
Mailing address
2536 BALLANTRAE CIR, CUMMING, GA 30041-6393
(770) 844-0794
(770) 844-0561
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000318
GA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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