Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jacob Carson, CSFA

Individual provider Surgical Assistant · NPI 1174230320

Mr. Jacob Carson, CSFA is a Surgical Assistant in Woodstock, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
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Practice location Address checks out

5341 Holly Springs Pkwy Ste 207-106
Woodstock, GA 30188-2492
Phone: (214) 227-2457
Fax: (214) 764-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 213549 (GA)

Record details

NPI number1174230320
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedOctober 27, 2022
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing addressPo Box 2550, Rowlett, TX 75030-2550

Other providers in Woodstock