Jacob Ward Md, Llc | |
1200 Buckhead Xing Ste B Woodstock GA 30189-4259 | |
(770) 592-4350 | |
(770) 874-0028 |
Full Name | Jacob Ward Md, Llc |
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Speciality | Family Medicine |
Location | 1200 Buckhead Xing Ste B, Woodstock, Georgia |
Authorized Official Name and Position | Jacob T Ward (PHYSICIAN) |
Authorized Official Contact | 7705924350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jacob Ward Md, Llc 1200 Buckhead Xing Ste B Woodstock GA 30189-4259 Ph: (770) 592-4350 | Jacob Ward Md, Llc 1200 Buckhead Xing Ste B Woodstock GA 30189-4259 Ph: (770) 592-4350 |
NPI Number | 1093903395 |
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Provider Enumeration Date | 10/11/2007 |
Last Update Date | 10/11/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093903395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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