Individual
TRACY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2393 WHEELESS RD, AUGUSTA, GA 30906-5408
(762) 622-3011
Mailing address
2393 WHEELESS RD, AUGUSTA, GA 30906-5408
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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