Individual
MARCIA P JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1912 AL HIGHWAY 157, CULLMAN, AL 35058-0609
(256) 737-2882
(256) 737-2050
Mailing address
PO BOX 1108, CULLMAN, AL 35056-1108
(256) 737-2882
(256) 737-2050
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-019422
AL
Other
Enumeration date
09/26/2005
Last updated
07/08/2007
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