Carson, Jacob

Carson, Jacob is an sole proprietor health care provider with primary practice located at 5341 Holly Springs Pkwy Ste 207-106 , Woodstock GA 30188-2492. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Carson, Jacob can be contacted via phone (214) 227-2457.

Contact Information

Primary practice address
5341 Holly Springs Pkwy Ste 207-106 Woodstock GA 30188-2492
Phone: (214) 227-2457
Fax: (214) 764-0880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 213549 Georgia

Profile Details

NPI number 1174230320
LBN Legal business name Carson, Jacob
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2022
Last updated Jun 10th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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