Individual
CHARLES MICHAEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
643 EDGEMOOR RD, POWELL, TN 37849-7146
(865) 945-3333
(865) 945-3449
Mailing address
120 OLD BLACKSFERRY LN, CLINTON, TN 37716-7040
(865) 945-3743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5835
TN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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