Individual
GEORGE ALEXANDER JENKINS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 TAYLOR ST, SUITE 200, COLUMBIA, SC 29201-2919
(803) 509-5710
(803) 509-5711
Mailing address
1520 TAYLOR ST, SUITE 200, COLUMBIA, SC 29201-2919
(803) 509-5710
(803) 509-5711
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
19190
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-2507985
TAX ID
SC
Enumeration date
05/01/2006
Last updated
12/09/2011
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