JACOB PENATZER

FORT STEWART, GA
NPI1699084590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA054484)
Enumeration Date2010-09-27
Last Update Date2011-06-18
Business Address
-- JACOB PENATZER PA-C
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
Mailing Address
-- JACOB PENATZER PA-C
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6633
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