Individual
MRS. ANTIHA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 MOUNTAIN HILL RD, FORTSON, GA 31808-4646
(404) 518-4289
Mailing address
1717 MOUNTAIN HILL RD, FORTSON, GA 31808-4646
(404) 518-4289
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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