| NPI | 1033508791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT JACOBS Nurse Practitioner/Owner 912-816-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN121991NP) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |