Individual
JOHN BARRY JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
145 INDUSTRIAL WAY SW, CLEVELAND, TN 37311-7114
(800) 614-1100
Mailing address
200 S CREST RD, CHATTANOOGA, TN 37404-5521
(423) 622-1600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20793
TN
183500000X
Pharmacist
6383
AL
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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