Individual
DR. PHILIP ANDREW JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
118 HAWTHORN LN STE A, SAINT MARYS, GA 31558-9203
(912) 729-4748
Mailing address
2902 PATHVIEW LN, MARIETTA, GA 30062-1460
(770) 722-3186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015173
GA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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