Abraham, Jacob
Abraham, Jacob is an individual health care provider with primary practice located at 3520 Piedmont Rd Ne Suite 250, Atlanta GA 30305-1516. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Abraham, Jacob can be contacted via phone (404) 870-2802.Contact Information
Primary practice address
3520 Piedmont Rd Ne Suite 250
Atlanta GA 30305-1516
Phone: (404) 870-2802
Fax: (404) 419-6623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 056014 | Georgia |
Profile Details
| NPI number | 1144271800 |
|---|---|
| LBN Legal business name | Abraham, Jacob |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 19th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144271800 | NPPES |
| Georgia | MEDICAID | 242113660 |
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