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Organization
JENNIFER E JACOBS DPM LLC
Active
Organization
JENNIFER E JACOBS DPM LLC
Active
Other names
Oconee Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER E JACOBS DPM (OWNER)
(706) 425-5433
Entity
Organization
Contact information
Practice address
1747 LANGFORD DRIVE, BLD. 400 STE. 102, WATKINSVILLE, GA 30677-7370
(706) 425-5433
(770) 573-6764
Mailing address
1747 LANGFORD DRIVE, BLD. 400 STE. 102, WATKINSVILLE, GA 30677-7370
(706) 425-5433
(770) 573-6764
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001149
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125064A
—
GA
Enumeration date
03/06/2012
Last updated
07/24/2014
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