Individual
DR. ELEONORA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
2636 TOBACCO RD, SUITE A, HEPHZIBAH, GA 30815
(706) 771-7001
Mailing address
2511 CARRIAGE CREEK, AUGUSTA, GA 30909
(706) 733-1124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013334
GA
Other
Enumeration date
09/01/2006
Last updated
08/29/2007
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