Organization
JACOBS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SCOTT JACOBS ARNP (NURSE PRACTITIONER/OWNER)
(912) 816-8956
Entity
Organization
Contact information
Practice address
403 LISTER ST, A, WAYCROSS, GA 31501-5225
(912) 816-8956
Mailing address
403 LISTER ST, A, WAYCROSS, GA 31501-5225
(912) 816-8956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN121991NP
GA
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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