Individual
MS. JULIE L JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMSC
Contact information
Practice address
1670 CLAIRMONT RD, CARDIOLOGY 111-B, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, CARDIOLOGY 111-B, DECATUR, GA 30033-4004
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003478
GA
Other
Enumeration date
06/27/2006
Last updated
07/11/2007
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