Individual
STEPHEN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
639 HEMLOCK ST STE 100, MACON, GA 31201-6889
(475) 755-1560
Mailing address
639 HEMLOCK ST STE 100, MACON, GA 31201-6889
(478) 755-1560
(478) 755-1562
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN298474
GA
Other
Enumeration date
03/28/2019
Last updated
08/31/2021
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