Organization
PALMETTO ENDOSCOPY SUITE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE JENKINS III MD (DOCTOR)
(803) 509-5710
Entity
Organization
Contact information
Practice address
1520 TAYLOR ST, COLUMBIA, SC 29201-2919
(803) 509-5710
(803) 509-5711
Mailing address
1520 TAYLOR ST, COLUMBIA, SC 29201-2919
(803) 509-5710
(803) 509-5711
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0932
—
SC
Enumeration date
01/19/2011
Last updated
01/31/2012
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