Individual
JACOB SAULS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2814 WILSON AVE N, TIFTON, GA 31794-1328
(229) 402-1754
Mailing address
2814 WILSON AVE N, TIFTON, GA 31794-1328
(229) 402-1754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
025956
GA
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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