Individual
MATTHEW JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2800
Mailing address
PO BOX 100551, FLORENCE, SC 29502-0551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33784
SC
Other
Enumeration date
01/25/2011
Last updated
07/06/2011
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