Individual
DR. CHARITY ANN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1723 BROADWAY ST STE 315, CAPE GIRARDEAU, MO 63701-4556
(573) 519-4960
Mailing address
1723 BROADWAY ST STE 315, CAPE GIRARDEAU, MO 63701-4556
(573) 519-4960
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
2019023336
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2012
Last updated
10/11/2019
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