Individual
JACOB DOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7101 HOFF ST BLDG 9240, FORT BENNING, GA 31905-5645
(706) 544-4795
Mailing address
7101 HOFF ST BLDG 9240, FORT BENNING, GA 31905-5645
(706) 544-4795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401420052
VA
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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