Individual
JAMILA JAMEACE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3662 FLAKES MILL RD STE A, DECATUR, GA 30034-5219
(770) 593-2202
Mailing address
3662 FLAKES MILL RD STE A, DECATUR, GA 30034-5219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122876
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
07/05/2024
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