Individual
JACOB MATHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1023 MEDICAL CENTER PKWY STE 200, SELMA, AL 36701-7739
(334) 334-8754
Mailing address
1023 MEDICAL CENTER PKWY STE 200, SELMA, AL 36701-7739
(334) 334-8754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47071
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
04/09/2026
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