National Provider Identifier Database

MINA JACOB MD PC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

MINA JACOB, MD, PC
1300 PEACHTREE BATTLE AVE NW
ATLANTA, GA30327-1424
Phone: 404-273-6438
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for MINA JACOB, MD, PC

NPI Number 1467719849
Legal business name
LBN
MINA JACOB, MD, PC
Authorized official MINA JACOB - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/23/2012
Last updated 04/23/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 51477

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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