GWENETH FERDINAND-JACOB

CLARKSVILLE, TN
NPI1922074459
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: TN  PA969)
Enumeration Date2006-02-24
Last Update Date2012-04-17
Business Address
Ms. GWENETH FERDINAND-JACOB PA-C
763 MCCLAIN DR
CLARKSVILLE, TN 37040
Phone number: 931-906-1823
Mailing Address
Ms. GWENETH FERDINAND-JACOB PA-C
763 MCCLAIN DR
CLARKSVILLE, TN 37040-5695
Phone number: 931-906-1823
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