Individual
JAMES EDWARD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 WEST MONTAGUE AVE, SUITE 203, N. CHARLESTON, SC 29418
(843) 740-6999
(843) 740-5433
Mailing address
3300 WEST MONTAGUE AVE, SUITE 203, N. CHARLESTON, SC 29418
(843) 740-6999
(843) 740-5433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9864
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120579630
ORGANIZATION NPI
SC
01
—
571128621
TAX ID
SC
Enumeration date
07/06/2005
Last updated
03/26/2014
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