Organization
ROBERT W JACEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE SLAUGHTER COA (OFFICE MANAGER)
(804) 517-5555
Entity
Organization
Contact information
Practice address
712 TRAIN LN, HEATHSVILLE, VA 22473-4595
(804) 517-5555
(804) 724-5103
Mailing address
712 TRAIN LN, HEATHSVILLE, VA 22473-4595
(804) 517-5555
(804) 737-9058
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101024617
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006380069
—
VA
01
—
C03829
MEDICARE GROUP
VA
Enumeration date
03/13/2008
Last updated
04/21/2025
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