Individual
TERRY A JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 JESSE HILL JR DR SE, EMORY FACULTY OFFICE BUILDING, ATLANTA, GA 30303-3049
(404) 778-1625
(404) 778-1602
Mailing address
49 JESSE HILL JR DR SE, EMORY FACULTY OFFICE BUILDING, ATLANTA, GA 30303-3049
(404) 778-1625
(404) 778-1602
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037575
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00568367A
—
GA
Enumeration date
09/14/2006
Last updated
07/08/2007
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