Individual
WENDY JACOBSON MD PC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1485 LAVISTA RD NE, ATLANTA, GA 30324-3846
(404) 325-5677
(404) 325-9029
Mailing address
1485 LAVISTA RD NE, ATLANTA, GA 30324-3846
(404) 325-5677
(404) 325-9029
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
038811
GA
Other
Enumeration date
03/04/2007
Last updated
07/13/2012
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