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Individual

MATTHEW RYAN JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-4000
Mailing address
3643 N ROXBORO ST, DURHAM, NC 27704-2702

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025-01487
NC
207R00000X
Internal Medicine Physician
5101027859
MI

Other

Enumeration date
04/26/2021
Last updated
06/23/2025
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