Individual
JACOB KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
57 CHEROKEE ROSE RUN, DALLAS, GA 30157-5013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH035549
GA
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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