Individual
JACOBO LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 WALTON WAY, AUGUSTA, GA 30904-2305
(706) 434-1590
(706) 434-1595
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
075291
GA
207RI0200X
Infectious Disease Physician
ME147092
FL
Other
Enumeration date
05/29/2012
Last updated
01/16/2025
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