Individual
DR. JACOB SETH PSOMIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(770) 362-4509
Mailing address
380 HOSPITAL DR STE 430, MACON, GA 31217-8017
(487) 751-0367
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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