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Latrina Jenkins
Prosthetic/Orthotic Supplier in Augusta, Georgia
NPI 1902495880

Latrina Jenkins is a Prosthetic/Orthotic Supplier based in Augusta, GA. Latrina Jenkins practices in Augusta, GA. The NPI Number for Latrina Jenkins is 1902495880 and holds a License No. LCB20190001116 (Georgia).

The current practice location address for Latrina Jenkins is 116 Shartom Dr, Augusta, GA and can be reached out via phone at 706-294-9434 and via fax at 651-800-9979.

Location: 116 Shartom Dr, Augusta, GA, 30907-4748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902495880
Provider Name
Latrina Jenkins
Credential
Provider Entity Type
Individual
Gender
Female
Address
116 Shartom Dr, Augusta, GA, 30907-4748
Phone Number
706-294-9434
Fax Number
651-800-9979
Provider Enumeration Date
01/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
116 Shartom Dr
City
Augusta
State
Georgia
Zip
30907-4748
Phone Number
706-294-9434
Fax Number
651-800-9979
person
Provider Business Mailing Address Details
Address
116 Shartom Dr
City
Augusta
State
Georgia
Zip
30907-4748
Phone Number
706-294-9434
Fax Number
651-800-9979
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
LCB20190001116 (Georgia)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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