Jacobson, Ross Lang

Jacobson, Ross Lang is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Jacobson, Ross Lang can be contacted via phone (770) 297-2200.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 297-2200
Fax: (770) 534-8139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 057204 Georgia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 057204 Georgia

Profile Details

NPI number 1518947456
LBN Legal business name Jacobson, Ross Lang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 14th, 2019 - about 5 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 1518947456 NPPES
Georgia MEDICAID 238806338A
Georgia Other 4346566
Georgia MEDICAID 238806338C
Georgia MEDICAID 238806338D
Georgia Other 0677272
Georgia MEDICAID 238806338E
Georgia Other 52197850
Georgia Other 10038639
Georgia Other 340853
Georgia MEDICAID 238806338B
Georgia Other 4069685

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