Individual
WILLIAM L JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 WARREN CARROLL DR, RALEIGH, NC 27695-5721
(919) 515-2111
(919) 515-0728
Mailing address
5633 BARHAM CT, RALEIGH, NC 27613-5721
(919) 538-3658
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4295
NC
Other
Enumeration date
01/09/2019
Last updated
12/12/2019
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