Individual
DR. WILLIAM CARLISLE JACOBS
Active
Individual
DR. WILLIAM CARLISLE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
018679
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000234594C
—
GA
05
—
000234594K
—
GA
05
—
000234594Q
—
GA
05
—
000234594R
—
GA
05
—
000234594S
—
GA
05
—
000234594T
—
GA
05
—
000234594U
—
GA
05
—
000234594X
—
GA
Enumeration date
06/15/2005
Last updated
10/22/2009
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