Search › Georgia › 111N00000X
Jacob Earls
NPI 1477917730 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3166 Chestnut Dr
Atlanta, GA 30340 - Phone
- (404) 419-0479
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-12
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