Individual
JACOB YOUNGTAIK MOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3970 DEP BILL CANTRELL MEMORIAL RD, CUMMING, GA 30040-3011
(678) 513-2273
(678) 513-8869
Mailing address
3970 DEP BILL CANTRELL MEMORIAL RD, CUMMING, GA 30040-3011
(678) 513-2273
(678) 513-8869
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
92063
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2019
Last updated
09/09/2025
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