Individual
DR. JACOB ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
650 PONCE DE LEON AVE NE STE 650B, ATLANTA, GA 30308-1877
(404) 249-8800
Mailing address
650 PONCE DE LEON AVE NE STE 650B, ATLANTA, GA 30308-1877
(404) 249-8800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010644
GA
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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