Individual
BILLY JACOBS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 STREET D, RAY CITY, GA 31645-2071
(229) 406-2978
Mailing address
40 STREET D, RAY CITY, GA 31645-2071
(229) 406-2978
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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