SearchGeorgia103K00000X

Jacob Mcclure

NPI 1235832437 · on the registry since 2023 · sole proprietor

Practice

Address
3100 Five Forks Trickum Rd Sw Ste 203
Lilburn, GA 30047
Phone
(470) 485-2220
Organisation at this address
Sun Kim Dmd Llc
Zaras Wellness Llc
Kids Doc Pediatrics
Rainbow Steps Corporation
Sas Ancillary Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-24

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