Individual
JUSTIN ANDREW JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1696 HIGHWAY 19 S, MERIDIAN, MS 39301-8209
(601) 410-4994
Mailing address
451 UNIVERSITY DR, LIVINGSTON, AL 35470
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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