Individual
JEFFREY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 102, GAINESVILLE, GA 30501-3806
(770) 219-9445
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95749
GA
Other
Enumeration date
04/03/2020
Last updated
11/15/2023
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