Individual
JACOB GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4 OAKWOOD GLEN DR, CLINTON, MS 39056-4314
(225) 301-3711
Mailing address
4 OAKWOOD GLEN DR, CLINTON, MS 39056-4314
(225) 301-3711
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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