Individual
MR. EARNEST CALVIN BERNARD JENKINS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT013231
Contact information
Practice address
1335 ELDRICK LN, GROVETOWN, GA 30813-8335
(706) 664-7882
Mailing address
1335 ELDRICK LN, GROVETOWN, GA 30813-8335
(706) 664-7882
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT013231
GA
Other
Enumeration date
01/10/2021
Last updated
01/10/2021
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