Jacobs, Michael Scott

Jacobs, Michael Scott is an individual health care provider with primary practice located at 1080 Vend Dr Suite 100, Watkinsville GA 30677-7751. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jacobs, Michael Scott can be contacted via phone (706) 549-7047.

Contact Information

Primary practice address
1080 Vend Dr Suite 100 Watkinsville GA 30677-7751
Phone: (706) 549-7047
Fax: (706) 613-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 053926 Georgia

Profile Details

NPI number 1164495693
LBN Legal business name Jacobs, Michael Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Nov 4th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164495693 NPPES
Georgia MEDICAID 220660534
Georgia Other P00131029

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