Individual
JACOB M FOLSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5153
(601) 984-6962
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5153
(601) 984-6962
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
58351
TN
207X00000X
Orthopaedic Surgery Physician
T-2796
MS
208600000X
Surgery Physician
LL35780
SC
Other
Enumeration date
06/05/2013
Last updated
07/08/2019
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