Individual
DR. CARROLL STOCKTON JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
219 W BEVERLEY ST, SUITE 201, STAUNTON, VA 24401-4287
(540) 213-1350
(540) 213-1350
Mailing address
577 LOCUST AVE, WAYNESBORO, VA 22980-4414
(540) 256-1045
(540) 213-1350
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1502
OR
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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