JACOB LANDRAM

ATLANTA, GA
NPI1114649936
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
JACOB LANDRAM
4396 BRIARCLIFF RD NE
ATLANTA, GA 30345-2155
Phone number: 256-783-1871
Mailing Address
JACOB LANDRAM
4396 BRIARCLIFF RD NE
ATLANTA, GA 30345-2155
Phone number: 256-783-1871
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