Individual
MR. QUENTIN L JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11650 ALPHARETTA HWY # 100, ROSWELL, GA 30076-3805
(404) 596-5670
Mailing address
11650 ALPHARETTA HWY # 100, ROSWELL, GA 30076-3805
(404) 596-5670
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962479956
NPI NUMBER
—
Enumeration date
03/08/2006
Last updated
08/21/2019
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