Individual
RAHUL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-4390
(704) 834-3274
Mailing address
PO BOX 531797, ATLANTA, GA 30353-1797
(704) 834-4390
(704) 834-3274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017-01748
NC
207R00000X
Internal Medicine Physician
4301105688
MI
Other
Enumeration date
06/24/2014
Last updated
07/21/2022
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