Individual
DR. ISAAC JACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-2457
Mailing address
1446 HARPER ST, AUGUSTA, GA 30912-0012
(706) 721-2457
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
90404
SC
208000000X
Pediatrics Physician
Primary
91646
GA
Other
Enumeration date
04/02/2019
Last updated
03/16/2026
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