Jacob Boise
Jacob Boise is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
Practice location Address checks out
100 Woodruff Cir NE Ste P375Atlanta, GA 30322-1020
Phone: (404) 727-5655
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (GA) |
|---|
Record details
| NPI number | 1164091120 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 23, 2021 |
| Last updated in NPPES | June 23, 2021 |
| Certification date | June 21, 2021 |
| Mailing address | 100 Woodruff Cir Ne Ste P375, Atlanta, GA 30322-1020 |
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