Individual
JACOB CHARLES ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
202401845
NC
208000000X
Pediatrics Physician
LL83629
SC
Other
Enumeration date
05/18/2021
Last updated
08/05/2024
Update your record
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