Individual
DR. GRACE BABETTE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
4100 WESTO LOOP APT 4410, AUGUSTA, GA 30909-0198
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12857
GA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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