# DR HAYES YOUNG & JACOBS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780667618
- **Authorized official:** DR. JAMES ROBINSON JACOBS MD (MD)
- **Authorized official phone:** (870) 238-3261

## Contact information

- **Practice address:** 411 FALLS BLVD S, WYNNE, AR 72396-3501
- **Practice address phone:** (870) 238-3261
- **Practice address fax:** (870) 238-3115
- **Mailing address:** 411 FALLS BLVD S, WYNNE, AR 72396-3501
- **Mailing address phone:** (870) 238-3261
- **Mailing address fax:** (870) 238-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C4111 | AR | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 08/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0120707 | UNITED HEALTHCARE | AR |
| 05 | — | 102032001 | — | AR |