Jenkins, Joel Chandler

Jenkins, Joel Chandler is an individual health care provider with primary practice located at 850 Prince Ave Suite B, Athens GA 30606-2764. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jenkins, Joel Chandler can be contacted via phone (706) 353-2520.

Contact Information

Primary practice address
850 Prince Ave Suite B Athens GA 30606-2764
Phone: (706) 353-2520
Fax: (706) 353-2584
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1014 Georgia

Profile Details

NPI number 1487634705
LBN Legal business name Jenkins, Joel Chandler
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 21st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487634705 NPPES
Georgia MEDICAID 762696739A

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