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Individual

JEFFREY ROBERT JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
100 AURORA PL STE 100, AIKEN, SC 29801-5319
(803) 643-2090
(803) 641-5595

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
27866
SC
208D00000X
General Practice Physician
Primary
27866
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110807
AL
05
1154454098
ID
Enumeration date
03/13/2007
Last updated
05/06/2019
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