Individual
MARION KENT JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 S SHIRLEY AVE, HONEA PATH, SC 29654-1503
(864) 369-0552
(864) 369-1826
Mailing address
21 S SHIRLEY AVE, HONEA PATH, SC 29654-1503
(864) 369-0552
(864) 369-1826
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21062
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210621
—
SC
01
—
S476721
MEDCOST
—
Enumeration date
06/08/2006
Last updated
01/03/2012
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