Individual
JACOB FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1984 PEACHTREE RD NW, SUITE 515, ATLANTA, GA 30309-5219
(404) 351-1745
Mailing address
111 N MARIETTA PKWY NE, APT B120, MARIETTA, GA 30060-1478
(678) 549-3947
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
GA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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