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Earnest Calvin Bernard Jenkins

NPI Registration Record

Provider / OrganizationNPIDate Certified
EARNEST CALVIN BERNARD JENKINS14771419922021-01-10
Entity TypeIndividual
Provider NameMr. Earnest Calvin Bernard Jenkins Jr. MT013231
Practice Office Address1335 ELDRICK LN
GROVETOWN, GA US
Practice Office Telephone7066647882
Mailing Address1335 ELDRICK LN
GROVETOWN, GA 308138335 US
Business Telephone7066647882
HPT Codes
CodeLicense NoState
225700000X PRIMARYMT013231 GA
OPI Codes

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