Gary M. Jacobson in Woodstock - Vascular Surgery
Gary M. Jacobson - NPI 1760475594
Gary M. Jacobson is a Vascular Surgery in Woodstock, Georgia. Gary M. Jacobson practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Gary M. Jacobson is 1760475594. The last update date is 2020-04-22.
Gary M. Jacobson's current location address is 100 Stoneforest Dr Ste 130, Woodstock, Georgia. You can contact this provider via phone number 7704230595 and fax number 6783881627. The mailing address for Gary M. Jacobson is 100 Stoneforest Dr Ste 130, Woodstock, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary M. Jacobson |
|---|---|
| Address | 100 Stoneforest Dr Ste 130, Woodstock, Georgia |
| Phone Number | 7704230595 |
| Fax Number | 6783881627 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760475594 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2020-04-22 |
Provider Mailing Address Detail
| Address | 100 Stoneforest Dr Ste 130 |
|---|---|
| City | Woodstock |
| State | Georgia (GA) |
| Post Code | 301894881 |
| Phone Number | 7704230595 |
| Fax Number | 6783881627 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 51338 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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What is the unique 10-digit identification code issued to Gary M. Jacobson by the Centers for Medicare & Medicaid Services?
The Gary M. Jacobson has been assigned the NPI (National Provider Identifier) 1760475594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Gary M. Jacobson located?
The Gary M. Jacobson is located at 100 Stoneforest Dr Ste 130, Woodstock, GA 301894881.
What is Gary M. Jacobson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary M. Jacobson is Vascular Surgery, and the taxonomy code that classifies this field of practice is 2086S0129X.
On what date did the Gary M. Jacobson receive its 1760475594 assignment from the Centers for Medicare & Medicaid Services?
The Gary M. Jacobson was assigned its 1760475594 by the Centers for Medicare & Medicaid Services on 2005-08-26.
When was the information regarding Gary M. Jacobson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary M. Jacobson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-04-22.