Individual
DR. DOROTHEY ERIN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. C.
Contact information
Practice address
805 W PARK AVE STE 5A, GREENWOOD, MS 38930-2832
(662) 374-5252
Mailing address
PO BOX 10405, GREENWOOD, MS 38930-0405
(662) 374-5252
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1103
MS
111N00000X
Chiropractor
2170
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07922069
—
MS
Enumeration date
03/05/2007
Last updated
08/31/2023
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