DR. Richard Keith Jacob JR., MD

NPI #1316061179 in Monroe, Georgia

Provider Information

NPI Number: 1316061179
Entity Type: Individual
Name: DR. Richard Keith Jacob JR., MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Mar 19, 2007
Last Updated: Mar 19, 2025

Practice Location

Address: 2151 W SPRING ST STE B210
City: Monroe
State: Georgia
ZIP Code: 30655
Phone: (770) 207-5738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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