Individual
DAVID M. JENKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
935 W 2ND ST, SWANSEA, SC 29160-8665
(803) 568-2000
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 568-2000
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
1487
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
35705
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357055
—
SC
Enumeration date
09/27/2005
Last updated
07/21/2022
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