Individual
DR. STEPHEN CHACKO JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 ROSWELL RD STE 40, MARIETTA, GA 30062-8830
(678) 224-5334
Mailing address
3535 ROSWELL RD STE 40, MARIETTA, GA 30062-8830
(678) 224-5334
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
041142
GA
Other
Enumeration date
06/12/2006
Last updated
02/12/2024
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