Individual
DR. DANIEL PATRICK JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1700
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200600152
NC
207RG0100X
Gastroenterology Physician
Primary
200600152
NC
Other
Enumeration date
07/06/2006
Last updated
09/17/2021
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