Individual
JACOB A SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GENETIC COUNSELOR
Contact information
Practice address
225 CANDLER DR STE 204, SAVANNAH, GA 31405-6092
(912) 819-5749
Mailing address
225 CANDLER DR STE 204, SAVANNAH, GA 31405-6092
(912) 819-5749
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134499296
NPI
GA
Enumeration date
01/06/2012
Last updated
10/14/2016
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