Jack Osborne Jenkins PH.D.

NPI 1639369515 - Psychologist - 103TB0200X

NPI Details
NPI 1639369515
Gender Male
Enumeration Date 07/27/2007
Last Updated 07/27/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
415 DIXIE ST
CARROLLTON GA, 30117-3921, US
Phone (678) 230-2046
Fax
Business Location
303 OLD CAMP CHURCH RD
CARROLLTON GA, 30117-8207, US
Phone (678) 230-2046
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State Georgia
License Number PSY000651
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According to our database, Dr. Jack Osborne Jenkins PH.D. NPI is 1639369515, taxonomy code is 103TB0200X and license number is PSY000651, license state is located at Georgia. Jack Osborne Jenkins PH.D. physically located at 415 Dixie St, Carrollton GA, 30117-3921. NPI Number Jack Osborne Jenkins PH.D. has the Individual type.

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1639369515 NPI number is provided on an as is basis without warranty of any kind. 1639369515 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Osborne Jenkins PH.D. are for informational purposes only.