Individual
ALAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
349 BRAMPTON AVE, STATESBORO, GA 30458-0832
(912) 489-2750
Mailing address
349 BRAMPTON AVE, STATESBORO, GA 30458-0832
(912) 704-9297
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033012
GA
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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