Individual
JACOB G NEESMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.,RPH.
Contact information
Practice address
1000 WHITLOCK AVE NW, MARIETTA, GA 30064-5455
(770) 421-7675
(770) 426-3678
Mailing address
2592 RILEY DR NW, MARIETTA, GA 30064-1813
(770) 514-7379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015784
GA
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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