JACOB FUQUA

OAK RIDGE, TN
NPI1366335960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  6571)
Enumeration Date2025-06-02
Last Update Date2025-06-02
Business Address
JACOB FUQUA PA-C
961 OAK RIDGE TPKE
OAK RIDGE, TN 37830-8832
Phone number: 865-375-8910
Mailing Address
JACOB FUQUA PA-C
PO BOX 306556
NASHVILLE, TN 37230-6556
Phone number: 865-694-0062
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