Individual
TERESA P JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DCH
Contact information
Practice address
7762 IRMO DR, COLUMBIA, SC 29212-8635
(803) 781-8733
Mailing address
7762 IRMO DR, COLUMBIA, SC 29212-8635
(803) 781-8733
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
1202
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1202
DOCTOR OF CHIROPATHY
SC
Enumeration date
11/01/2006
Last updated
07/08/2007
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