Jacobs, Richard Lee

Jacobs, Richard Lee is an individual health care provider with primary practice located at 1595 Highway 34 E , Newnan GA 30265-2353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jacobs, Richard Lee can be contacted via phone (919) 407-2835.

Contact Information

Primary practice address
1595 Highway 34 E Newnan GA 30265-2353
Phone: (919) 407-2835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 99-00071 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME111625 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 66955 Georgia

Profile Details

NPI number 1427132588
LBN Legal business name Jacobs, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 7th, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427132588 NPPES
North Carolina MEDICAID 8911863

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