Individual
TISHA CHAVIS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
236 KATIE BUIE RD, RED SPRINGS, NC 28377-4600
(706) 304-8870
Mailing address
236 KATIE BUIE RD, RED SPRINGS, NC 28377-4600
(706) 304-8870
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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