Individual
CRESS SCHAMMEL JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
104 BURNEY DR, FLOWOOD, MS 39232-6621
(601) 987-8200
(601) 987-8211
Mailing address
6119 COUNTY ROAD 200, FLORENCE, AL 35633-4201
(256) 710-8602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00648
MS
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/11/2020
Last updated
08/18/2022
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