Individual
LEE DAVID JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6875 DOUGLAS BLVD STE A, KAISER PERMANENTE DOUGLASVILLE, DOUGLASVILLE, GA 30135-7155
(678) 838-2246
(770) 431-4350
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
028283
GA
207RI0200X
Infectious Disease Physician
028283
GA
Other
Enumeration date
11/27/2006
Last updated
01/06/2022
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