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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB LANDRAM

Active Sole Proprietor

JACOB LANDRAM is a Physician Assistant healthcare provider located in ATLANTA, Georgia. NPI 1114649936 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ATLANTA, GA

Registration Details

NPI Number
1114649936
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2022 (3.8910726008408 yrs)
Last Updated
Sep 19, 2022
Sole Proprietor
Yes

Practice Information

Address
4396 BRIARCLIFF RD NE
ATLANTA, GA, 303452155
Browse GA providers · Browse ZIP 30345
Phone
2567831871
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ATLANTA, GA

Name Credential NPI
LEE A COULTER P.A.-C 1942207535
MRS. ANNE OLESEN P.A. 1215937743
ROBERT B DOAN PA C 1083606172
MRS. NANCY C MCINNIS PA 1871585158
HILARY R KARP PA-C 1245212158
JAIME G ACKERMAN PA-C 1013992544
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.