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John Marshall Jenkins Phd Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Rome, Georgia
NPI 1720672645

John Marshall Jenkins Phd Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Rome, GA and is specialized in Mental Health (Including Community Mental Health Center). John Marshall Jenkins Phd Llc practices in Rome, GA. The NPI Number for John Marshall Jenkins Phd Llc is 1720672645 and holds a License No. (Georgia).

The current practice location address for John Marshall Jenkins Phd Llc is 504 Riverside Pkwy Ne Ste 110, Rome, GA and can be reached out via phone at 706-766-1937.

Location: 504 Riverside Pkwy Ne Ste 110, Rome, GA, 30162-0441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720672645
Provider Name
John Marshall Jenkins Phd Llc
Credential
Provider Entity Type
Organization
Address
504 Riverside Pkwy Ne Ste 110, Rome, GA, 30162-0441
Phone Number
706-766-1937
Fax Number
Provider Enumeration Date
02/22/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861443921 01 NPPES INDIVIDUAL NPI
PSY001194 01 GA GEORGIA PSYCHOLOGIST LICENSE
institution
Provider Business Practice Location Address Details
Address
504 Riverside Pkwy Ne Ste 110
City
Rome
State
Georgia
Zip
30161-2981
Phone Number
706-766-1937
Fax Number
person
Provider Business Mailing Address Details
Address
504 Riverside Pkwy Ne Ste 110
City
Rome
State
Georgia
Zip
30161-2981
Phone Number
706-766-1937
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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