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Organization
MINA JACOB, MD, PC
Active
Organization
MINA JACOB, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA JACOB M.D. (PRESIDENT)
(404) 273-6438
Entity
Organization
Contact information
Practice address
1300 PEACHTREE BATTLE AVE NW, ATLANTA, GA 30327-1424
(404) 273-6438
Mailing address
1300 PEACHTREE BATTLE AVE NW, ATLANTA, GA 30327-1424
(404) 273-6438
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
51477
GA
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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