Individual
MRS. SALLY L JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
214 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 650-4178
Mailing address
214 KEOWEE TRL, CLEMSON, SC 29631-1448
(864) 650-4178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4971
SC
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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