Bradley G Jacoby, M.D. Valid NPI

Individual provider · Ophthalmology Physician · Covington, GA

NPI

1174605372

Type

Individual (Type 1)

Primary specialty

Ophthalmology Physician (Ophthalmology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207W00000X

License number

027835 (GA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-19

Last updated

2012-08-02