Organization
PALMETTO GASTROENTEROLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ALEXANDER JENKINS III M.D. (PRESIDENT)
(803) 799-2219
Entity
Organization
Contact information
Practice address
2750 LAUREL ST, STE 201, COLUMBIA, SC 29204
(803) 799-2219
(803) 933-0725
Mailing address
2750 LAUREL ST, STE 201, COLUMBIA, SC 29204
(803) 799-2219
(803) 933-0725
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0932
—
SC
Enumeration date
04/28/2006
Last updated
07/09/2009
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