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Individual

DR. JENNIFER E JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
1747 LANGFORD DR BLDG 400-102, WATKINSVILLE, GA 30677-7370
(706) 425-5433
(770) 573-6764
Mailing address
1747 LANGFORD DR. 400-102, WATKINSVILLE, GA 30677-7370
(706) 425-5433
(770) 573-6764

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001149
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001149
GA

Other

Enumeration date
07/11/2007
Last updated
07/11/2014
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