Individual
JACOB D. SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
058501
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058501
LICENSE
GA
Enumeration date
04/10/2007
Last updated
02/23/2011
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