Individual
DR. GARY M. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 WHITCHER STREET NE, SUITE 2100, MARIETTA, GA 30060
(770) 423-0595
(770) 874-1614
Mailing address
60 CHASTAIN CENTER BLVD NW STE 66, KENNESAW, GA 30144-5598
(770) 423-0595
(678) 391-5055
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
051338
GA
Other
Enumeration date
08/26/2005
Last updated
09/19/2025
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