Individual
JACOB MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501-3865
(770) 532-0800
Mailing address
295 LUMPKIN VIEW DR, CLEVELAND, GA 30528-5561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11248
GA
Other
Enumeration date
09/24/2019
Last updated
11/12/2025
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