Individual
JACOB WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 VILLAGE PROFESSIONAL DR STE 200, CANTON, GA 30114-8499
(678) 661-4545
(678) 880-8151
Mailing address
2000 VILLAGE PROFESSIONAL DR STE 200, CANTON, GA 30114-8499
(678) 661-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32075
GA
208VP0000X
Pain Medicine Physician
Primary
32075
GA
Other
Enumeration date
10/26/2006
Last updated
02/09/2022
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