Individual
LAKANYA DAWNIELLE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7485 FACTORY SHOALS RD STE B2, AUSTELL, GA 30168-7660
(404) 951-2000
Mailing address
65 KATELEN CT, COVINGTON, GA 30016-7720
(404) 951-2000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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