Individual
CASSIE SOO JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(228) 551-2575
Mailing address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 551-2575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH60318973
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2013
Last updated
06/26/2024
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