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Individual

DR. SHANTAE JAMES JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
8471 DORCHESTER RD, NORTH CHARLESTON, SC 29420-7381
(843) 876-2879
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30021
SC

Other

Enumeration date
07/03/2007
Last updated
07/09/2013
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