Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB PENATZER, PA-C
ActiveJACOB PENATZER, PA-C is a Physician Assistant healthcare provider located in FORT STEWART, Georgia. NPI 1699084590 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT STEWART, GA
Registration Details
- NPI Number
- 1699084590
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2010 (15.901304350543 yrs)
- Last Updated
- Jun 18, 2011
- License
-
MA054484 (PA)
Practice Information
- Address
-
1061 HARMON AVE STE 1D03FORT STEWART, GA, 313145641Browse GA providers · Browse ZIP 31314
- Phone
- 9124356633
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT STEWART, GA
| Name | Credential | NPI |
|---|---|---|
| MS. DANA MILLER | PA | 1366441883 |
| MR. MARK W CRABB | PA-C | 1437158573 |
| MS. ROSEMARIE CASANOVA | PA-C | 1396738357 |
| DR. WILLY DAVID BOOKER | PA-C | 1417920794 |
| MS. BONNIE JEAN RILEY | PHYSICIAN ASSISTANT | 1245204767 |
| ANTHONY ASTLEY JAMES | PHYSICIAN ASSISTANT | 1326002940 |
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.