Individual
MR. JACOB WAYNE USHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-7643
Mailing address
109 GARDEN CT, WARNER ROBINS, GA 31088-6151
(478) 747-9807
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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