Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD KEITH JACOB JR., MD
ActiveGeneral Surgery · MONROE, GA
Registration Details
- NPI Number
- 1316061179
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2007 (19.141510150085 yrs)
- Last Updated
- Mar 19, 2025
- License
-
58881 (GA)
Practice Information
- Address
-
2151 W SPRING ST STE B210MONROE, GA, 30655Browse GA providers · Browse ZIP 30655
- Phone
- 7702075738
- Fax
- 7702667346
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in MONROE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. CESAR MEDALLA DELIMA | M.D. | 1871707661 |
| DR. NATHANIEL LEON HILL II | D.O. | 1609066026 |
| DR. ROSEMARY CHICKOS | D.O. | 1619152808 |
| MICHAEL BRANDON WILLIAMS | MD | 1558781344 |
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.