Search › Georgia › 207Q00000X
Jacob Abraham, DO
NPI 1528588142 · on the registry since 2017 · sole proprietor
Practice
- Address
- 200 Doctors Dr Ste K
Douglas, GA 31533 - Phone
- (912) 384-4024
- Organisation at this address
- Mppg, Inc.
Coffee Family Medicine
Costrini & Meadows, Pc
Larry E. Forth O.D.P.C.
Douglas Medical SpecialistInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 125 Memorial Dr Ste A, Jesup, GA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- MI, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-06
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