Individual
DR. DENNIS MICHAEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(803) 288-3534
Mailing address
927 EAST BLVD, CHARLOTTE, NC 28203-5203
(803) 288-3534
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
9601128
NC
207L00000X
Anesthesiology Physician
Primary
DO-979
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
DO-979
SC
Other
Enumeration date
01/17/2006
Last updated
10/09/2015
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