Individual
SHARON A. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
302 E OGEECHEE ST, SYLVANIA, GA 30467-2403
(912) 564-7825
(912) 564-5778
Mailing address
P O BOX 1259, 223 N. ANDERSON DRIVE, SWAINSBORO, GA 30401
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN066281
GA
Other
Enumeration date
01/24/2007
Last updated
08/29/2012
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