Individual
DR. AIMEE JACOB TRUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
931 LOWER FAYETTEVILLE RD, NEWNAN, GA 30263-5790
(770) 683-6884
Mailing address
931 LOWER FAYETTEVILLE RD, STE H, NEWNAN, GA 30263-5790
(801) 391-5799
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010019
GA
Other
Enumeration date
04/30/2018
Last updated
05/10/2018
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