Thomas, Jacob Nathaniel

Thomas, Jacob Nathaniel is an individual health care provider with primary practice located at 3550 Preston Ridge Road Kaiser Permanente Alpharetta Medical Office, Alpharetta GA 30201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Thomas, Jacob Nathaniel can be contacted via phone (770) 663-3181.

Contact Information

Primary practice address
3550 Preston Ridge Road Kaiser Permanente Alpharetta Medical Office Alpharetta GA 30201
Phone: (770) 663-3181
Fax: (904) 202-4219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 65318 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TRN11022 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME106793 Florida

Profile Details

NPI number 1548461114
LBN Legal business name Thomas, Jacob Nathaniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated Mar 23rd, 2011 - about 14 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 1548461114 NPPES
Florida MEDICAID 0022855-00
Florida MEDICAID 419425335A

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