Individual
DR. WILLIAM SOLOMON JACOBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
997 ST. SEBASTIAN WAY, AUGUSTA, GA 30901-2603
(706) 721-6597
(706) 721-1793
Mailing address
1499 WALTON WAY STE 1400, ATTN: DONNA RAIFORD, AUGUSTA, GA 30901-2603
(706) 828-8402
(706) 721-1793
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
071681
GA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
071681
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
071681
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000291101C,D
—
GA
01
—
071681
GA LICENSES
GA
Enumeration date
06/02/2006
Last updated
03/07/2023
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