Individual
TRAVIS JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 SMITHONIA RD, WINTERVILLE, GA 30683-1418
(706) 605-3231
Mailing address
232 JEREMY DR, COLBERT, GA 30628-1543
(770) 570-9772
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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