Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLYDE TYRONE JACOB III, M.D.
Active Sole ProprietorCLYDE TYRONE JACOB III, M.D. is a Obstetrics & Gynecology healthcare provider located in JOHNS CREEK, Georgia. NPI 1972504488 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · JOHNS CREEK, GA
Registration Details
- NPI Number
- 1972504488
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (20.977162378339 yrs)
- Last Updated
- Dec 14, 2023
- Licenses
-
01089636A (IN)1999591 (NY)ME162114 (FL)C1-0025884 (DE)25MA09347700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6325 HOSPITAL PKWYJOHNS CREEK, GA, 300975775Browse GA providers · Browse ZIP 30097
- Phone
- 6784747000
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Obstetrics & Gynecology
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in JOHNS CREEK, GA
| Name | Credential | NPI |
|---|---|---|
| DR. BETTY L. ANTHONY | M.D. | 1568572584 |
| DR. SUIZA C. CHUA | M.D. | 1518077536 |
| JOHN C REYES | M.D. | 1710103619 |
| DR. INGRID VIVIAN REYES | M.D. | 1386846319 |
| NATU NAOMI MMBAGA | M.D. | 1770710865 |
| JANA PLATZ KEATING | MD | 1356683619 |
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.