Jenkins, Larry

Jenkins, Larry is an individual health care provider with primary practice located at 116 Peachtree Ct Ste A , Peachtree City GA 30269-4800. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jenkins, Larry can be contacted via phone (770) 719-1746.

Contact Information

Primary practice address
116 Peachtree Ct Ste A Peachtree City GA 30269-4800
Fax: (770) 716-2368
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1684CACII Georgia

Profile Details

NPI number 1558846196
LBN Legal business name Jenkins, Larry
Credentials CACII, NCACII, B.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2018
Last updated Mar 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers