MR. Earnest Calvin Bernard Jenkins JR., MT013231

NPI #1477141992 in Grovetown, Georgia

Provider Information

NPI Number: 1477141992
Entity Type: Individual
Name: MR. Earnest Calvin Bernard Jenkins JR., MT013231
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: MT013231
Enumeration Date: Jan 10, 2021
Last Updated: Jan 10, 2021

Practice Location

Address: 1335 ELDRICK LN
City: Grovetown
State: Georgia
ZIP Code: 30813-8335
Phone: (706) 664-7882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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