Quentin L Jenkins PA

NPI 1962479956 - Physician Assistant - 363AS0400X

NPI Details
NPI 1962479956
Gender Male
Enumeration Date 03/08/2006
Last Updated 10/06/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
211 CHICOPEE DR NE
MARIETTA GA, 30060-1269, US
Phone (678) 872-8750
Fax (678) 872-8769
Business Location
PO BOX 4370
MARIETTA GA, 30061-4370, US
Phone (678) 872-8750
Fax (678) 872-8769
Toxanomy
Taxonomy Code 363AS0400X
License State Georgia
License Number 003649
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According to our database, Mr. Quentin L Jenkins PA NPI is 1962479956, taxonomy code is 363AS0400X and license number is 003649, license state is located at Georgia. Quentin L Jenkins PA physically located at 211 Chicopee Dr Ne, Marietta GA, 30060-1269. NPI Number Quentin L Jenkins PA has the Individual type.

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1962479956 NPI number is provided on an as is basis without warranty of any kind. 1962479956 is maintained by the National Plan & Provider Enumeration System. The contents of Quentin L Jenkins PA are for informational purposes only.