Individual
ANDREA CHANEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPC
Contact information
Practice address
523 ERNESTINE FALLS, GROVETOWN, GA 30813-5517
(843) 801-5558
Mailing address
523 ERNESTINE FALLS, GROVETOWN, GA 30813-5517
(843) 801-5558
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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