Individual
MR. JACOB MATTHEW NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDHS
Contact information
Practice address
563 POINT PETER RD, SAINT MARYS, GA 31558-4470
(912) 577-1292
Mailing address
563 POINT PETER RD, SAINT MARYS, GA 31558-4470
(912) 577-1292
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
FL
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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