Individual
JEFFREY EDWARD JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1424 SPRING ST SE, SMYRNA, GA 30080-3666
(770) 337-9426
Mailing address
1371 MILL BROOK DR, MARIETTA, GA 30066-1175
(770) 337-9426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT002900
GA
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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