Individual
MR. STANLEY ALLYN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4500 STUART ST, MONCRIEF ARMY COMMUNITY HOSPATTN: MCXL-PQ (CREDENTIALS), COLUMBIA, SC 29207-5700
(803) 751-2618
(803) 751-2689
Mailing address
4500 STUART STREET,MONCRIEF ARMY COMMUNITY HOSPITAL, ATTN: MCXL-PQ (CREDENTIALS), FORT JACKSON, SC 29207-5720
(803) 751-2618
(803) 751-2689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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