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NPI Code Detail

MEDICARE: DR. WILLIAM SOLOMON JACOBS JR. M. D.

MEDICARE:  DR. WILLIAM SOLOMON JACOBS JR. M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician071681GA
2207LA0401XAddiction Medicine (Anesthesiology) Physician071681GA
3207LP2900XPain Medicine (Anesthesiology) Physician071681GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2071681OTHERGAGA LICENSES

General Provider Information

NPI Number : 1619915824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM SOLOMON JACOBS JR. M. D.
Provider Business Mailing Address
First Line : 1499 WALTON WAY STE 1400
Second Line : ATTN: DONNA RAIFORD
City : AUGUSTA
State : GA
Zip : 30901-2603
Country : US
Telephone Number : 706-828-8402
Fax Number : 706-721-1793
Provider Business Practice Location Address
First Line : 997 ST. SEBASTIAN WAY
Second Line :
City : AUGUSTA
State : GA
Zip : 30901-2603
Country : US
Telephone Number : 706-721-6597
Fax Number : 706-721-1793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 03/07/2023

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Directions to “ DR. WILLIAM SOLOMON JACOBS JR. M. D.” Practice Location

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