Jacobs, George

Jacobs, George is an individual health care provider with primary practice located at 1225 E Garrison Blvd , Gastonia NC 28054-5115. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Jacobs, George can be contacted via phone (704) 865-7416.

Contact Information

Primary practice address
1225 E Garrison Blvd Gastonia NC 28054-5115
Phone: (704) 865-7416
Fax: (704) 865-7232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20920 North Carolina

Profile Details

NPI number 1720082258
LBN Legal business name Jacobs, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jan 30th, 2012 - about 12 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720082258 NPPES
North Carolina MEDICAID 7945577

Popular Providers