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Individual

ARUN THANKACHAN JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.B.B.S.

Contact information

Practice address
1315 JESSE JEWELL PKWY NE, SUITE 300, GAINESVILLE, GA 30501-3822
(770) 219-6520
(770) 219-6521
Mailing address
601 S ENOTA DR NE, SUITE Q, GAINESVILLE, GA 30501-2400
(770) 219-6602
(770) 219-2625

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
069981
GA
207T00000X
Neurological Surgery Physician
R-7823
IA

Other

Enumeration date
05/23/2007
Last updated
10/14/2020
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