Individual
NEDDIE NICOLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 ABBA RD, FITZGERALD, GA 31750-6047
(706) 294-3773
(803) 202-0334
Mailing address
996 SHADWELL DR, EVANS, GA 30809-4539
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004805
GA
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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