Stephen William Jacon
Stephen William Jacon is a Student in an Organized Health Care Education/Training Program in Newnan, Georgia. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
29 Muirfield CtNewnan, GA 30265
Phone: (937) 546-2305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1356823363 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 5, 2018 |
| Last updated in NPPES | June 12, 2019 |
| Mailing address | 29 Muirfield Court, Newnan, GA 30265 |
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