Individual
RONNIE L JACOBS
Active
Individual
RONNIE L JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
009300160
NC
207R00000X
Internal Medicine Physician
0101231028
VA
207R00000X
Internal Medicine Physician
055244
GA
207R00000X
Internal Medicine Physician
D0061172
MD
207R00000X
Internal Medicine Physician
TL29367
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229261
RAILROAD MEDICARE
NC
01
—
45590
BCBS
NC
05
—
8945590
—
NC
Enumeration date
04/04/2006
Last updated
12/10/2014
Update your record
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