Individual
TERRY E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, ANESTHESIA DEPT, CARTERSVILLE, GA 30120-2129
(770) 382-1530
Mailing address
2 SOUTH AVE, CARTERSVILLE, GA 30120-3559
(770) 387-0544
(770) 387-0543
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
053554
GA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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