Individual
DAVID C JACOBS
Active
Individual
DAVID C JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37385
TN
207RC0000X
Cardiovascular Disease Physician
37385
TN
208M00000X
Hospitalist Physician
37385
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007460476
AETNA
—
05
—
3887464
—
TN
05
—
38874641
—
TN
01
—
4064306
BLUE CROSS BLUE SHIELD
TN
01
—
4154142
BLUE CROSS
TN
01
—
6010930
BLUE CROSS-BLUE SHIELD
TN
05
—
7100052260
—
KY
01
—
P00400975
RAILROAD MEDICARE
—
Enumeration date
12/08/2005
Last updated
10/17/2014
Update your record
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