South, Jacob A

South, Jacob A is an individual health care provider with primary practice located at 225 Candler Dr Ste 204 , Savannah GA 31405-6092. He recently has only one registered license in Other Service Providers / Genetic Counselor, MS, which is considered as his primary health care specialty. South, Jacob A can be contacted via phone (912) 819-5749.

Contact Information

Primary practice address
225 Candler Dr Ste 204 Savannah GA 31405-6092
Phone: (912) 819-5749
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Genetic Counselor, MS 170300000X

Profile Details

NPI number 1134499296
LBN Legal business name South, Jacob A
Credentials GENETIC COUNSELOR
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Oct 14th, 2016 - about 10 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 1134499296 NPPES
Georgia Other 1134499296 NPI

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