Individual
MR. BOBBY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
Mailing address
213 ASHLEIGH WALK PKWY, SUWANEE, GA 30024-4117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH024049
GA
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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