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1184916702
JACOB ANDERSON
MONTGOMERY, AL
NPI
1184916702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: AL 1613)
Enumeration Date
2011-05-15
Last Update Date
2023-10-17
Business Address
JACOB ANDERSON DO
2055 E SOUTH BLVD STE 601
MONTGOMERY, AL 36116-2014
Phone number: 334-747-2999
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Mailing Address
JACOB ANDERSON DO
301 BROWN SPRINGS RD
MONTGOMERY, AL 36117-7005
Phone number: 334-747-4159
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