Jacobs, William Carlisle

Jacobs, William Carlisle is an individual health care provider with primary practice located at 5669 Peachtree Dunwoody Rd Ne Suite 315, Atlanta GA 30342-1786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacobs, William Carlisle can be contacted via phone (404) 250-6400.

Contact Information

Primary practice address
5669 Peachtree Dunwoody Rd Ne Suite 315 Atlanta GA 30342-1786
Phone: (404) 250-6400
Fax: (404) 250-6405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 018679 Georgia

Profile Details

NPI number 1174528384
LBN Legal business name Jacobs, William Carlisle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 22nd, 2009 - about 17 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 1174528384 NPPES
Georgia MEDICAID 000234594U
Georgia MEDICAID 000234594C
Georgia MEDICAID 000234594K
Georgia MEDICAID 000234594X
Georgia MEDICAID 000234594S
Georgia MEDICAID 000234594T
Georgia MEDICAID 000234594Q
Georgia MEDICAID 000234594R

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