Individual
DR. BRET CHARLES JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1131 N CHURCH ST STE C, GREENSBORO, NC 27401-1016
(336) 832-7867
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
(415) 658-6791
(415) 520-0904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS 015988
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2011-00649
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
280667-1
NY
Other
Enumeration date
05/29/2008
Last updated
07/29/2024
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