Individual
DR. JACOB JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE STE 710, GAINESVILLE, GA 30501-3715
(770) 284-6961
Mailing address
743 SPRING ST NE STE 710, GAINESVILLE, GA 30501-3715
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
12/12/2019
Last updated
03/29/2021
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