Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB TYRE STANCILL
Active Sole ProprietorJACOB TYRE STANCILL is a Case Management Agency healthcare provider located in LAGRANGE, Georgia. NPI 1205399532 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · LAGRANGE, GA
Registration Details
- NPI Number
- 1205399532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2019 (7.371693910021 yrs)
- Last Updated
- Apr 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 GORDON COMMERCIAL DR STE CLAGRANGE, GA, 302405754Browse GA providers · Browse ZIP 30240
- Phone
- 7068454045
- Fax
- 7068454367
- Primary Specialty
-
Case Management Agency
251B00000X
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.