Individual
JOHN FRANKLIN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
410 DARLING AVE, WAYCROSS, GA 31501-5246
(912) 287-2744
(912) 338-6538
Mailing address
PO BOX 173, WAYCROSS, GA 31502-0173
(912) 287-2744
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004510
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358603223A
—
GA
Enumeration date
01/28/2008
Last updated
02/01/2022
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