Individual
CARLON DARNEIL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
126 WILLIAMSBURG AVE, LAKE CITY, SC 29560-2734
(843) 687-9660
Mailing address
126 WILLIAMSBURG AVE, LAKE CITY, SC 29560-2734
(843) 687-9660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23030
SC
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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