DOMINIQUE AQI JENKINS

MACON, GA
NPI1497515746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  16005)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-21
Last Update Date2024-06-17
Business Address
DOMINIQUE AQI JENKINS
777 HEMLOCK STREET LN # 165
MACON, GA 31201-2168
Phone number: 478-633-1634
Mailing Address
DOMINIQUE AQI JENKINS
777 HEMLOCK ST
MACON, GA 31201-2102
Phone number: 478-633-1891