Individual
LEIGH ANNE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4430 WADE GREEN RD NW, KENNESAW, GA 30144-1267
(770) 419-4036
(770) 792-8362
Mailing address
4430 WADE GREEN RD NW, KENNESAW, GA 30144-1267
(770) 419-4036
(770) 792-8362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025373
GA
Other
Enumeration date
01/12/2013
Last updated
01/12/2013
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