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1992384283
JACOB B MCILWAIN
MADISON, MS
NPI
1992384283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT6975)
Enumeration Date
2021-04-05
Last Update Date
2023-06-08
Business Address
JACOB B MCILWAIN DPT
1022 HIGHWAY 51 STE 300
MADISON, MS 39110-7216
Phone number: 601-572-3818
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Mailing Address
JACOB B MCILWAIN DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-777-6236
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