Individual
JOANNE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 DEER CREEK CT, FLOWERY BRANCH, GA 30542-3556
(404) 536-6652
Mailing address
4526 DEER CREEK CT, FLOWERY BRANCH, GA 30542-3556
(404) 536-6652
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2022
Last updated
03/26/2022
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