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1295227015
JACOB R NEUWIRTH
AUGUSTA, GA
NPI
1295227015
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 010068)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
JACOB R NEUWIRTH
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 860-306-0937
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Mailing Address
JACOB R NEUWIRTH
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number:
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