Individual
JACOB ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3520 PIEDMONT RD NE, SUITE 250, ATLANTA, GA 30305-1516
(404) 870-2802
(404) 419-6623
Mailing address
3520 PIEDMONT RD NE, SUITE 250, ATLANTA, GA 30305-1516
(404) 870-2802
(404) 419-6623
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
056014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242113660
—
GA
Enumeration date
05/15/2006
Last updated
02/19/2014
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