Individual
SHARON JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 GRANT PARK PL SE, ATLANTA, GA 30315-1429
(404) 397-2228
(404) 622-8887
Mailing address
PO BOX 150057, ATLANTA, GA 30315-0180
(404) 397-2228
(404) 622-8887
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
765705
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8889782
NPN NATIONAL PRODUCER NUMBER
GA
Enumeration date
09/27/2013
Last updated
09/27/2013
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