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Jacob Stancill

NPI 1205399532 · on the registry since 2019 · sole proprietor

Practice

Address
122 Gordon Commercial Dr Ste C
Lagrange, GA 30240
Phone
(706) 845-4045
Fax
(706) 845-4367
Organisation at this address
Pathways Center For Behavioral And Developmental Growth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
251B00000X
251B00000X
Sex
Male
Record last updated
2019-04-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia