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1184070740
JACOB SUMMERFORD
CUMMING, GA
NPI
1184070740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 7958)
Enumeration Date
2016-05-12
Last Update Date
2016-05-12
Business Address
-- JACOB SUMMERFORD PA-C
1100 NORTHSIDE FORSYTH DR SUITE 250
CUMMING, GA 30041-6012
Phone number: 770-667-4337
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Mailing Address
-- JACOB SUMMERFORD PA-C
1100 NORTHSIDE FORSYTH DR SUITE 250
CUMMING, GA 30041-6012
Phone number:
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