Individual
JAMIE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1865 BOLD SPRINGS RD NW, MONROE, GA 30656-4605
(770) 267-8677
Mailing address
334 CREEK MANOR WAY, SUWANEE, GA 30024-6564
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003652
GA
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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