Individual
DR. RICHARD LEE JACOBS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1595 HIGHWAY 34 E, NEWNAN, GA 30265-2353
(919) 407-2835
Mailing address
302 SHELL TOOMER PKWY, AUBURN, AL 36830-6950
(919) 407-2835
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
66955
GA
207L00000X
Anesthesiology Physician
99-00071
NC
207L00000X
Anesthesiology Physician
ME111625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911863
—
NC
Enumeration date
10/25/2006
Last updated
04/07/2022
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