Individual
GERARD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3317 HORSLEY MILL RD, CARROLLTON, GA 30116-8003
(404) 549-3891
Mailing address
650 PONCE DE LEON AVE NE # 2052, ATLANTA, GA 30308-1804
(678) 577-4886
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
058281911
GA
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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