Individual
JACOB LUNSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
109 S 3RD ST, COCHRAN, GA 31014-6718
(478) 934-4988
(478) 934-4989
Mailing address
109 S 3RD ST, COCHRAN, GA 31014-6718
(478) 934-4988
(478) 934-4989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8441
GA
Other
Enumeration date
04/22/2016
Last updated
07/22/2025
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