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Billy Jacobs III, PA-C
Student in an Organized Health Care Education/Training Program in Enterprise, Alabama
NPI 1295383834

Billy Jacobs III is a Student in an Organized Health Care Education/Training Program based in Enterprise, AL. Billy Jacobs III practices in Enterprise, AL and has the professional credentials of PA-C. The NPI Number for Billy Jacobs III is 1295383834 and holds a License No. PA.1898 (Alabama).

The current practice location address for Billy Jacobs III is 404 N Main St, Enterprise, AL and can be reached out via phone at 334-308-9797.

Location: 404 N Main St, Enterprise, AL, 36330-2563
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295383834
Provider Name
Billy Jacobs III
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
404 N Main St, Enterprise, AL, 36330-2563
Phone Number
334-308-9797
Fax Number
Provider Enumeration Date
08/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
404 N Main St
City
Enterprise
State
Alabama
Zip
36330-2563
Phone Number
334-308-9797
Fax Number
person
Provider Business Mailing Address Details
Address
404 N Main St
City
Enterprise
State
Alabama
Zip
36330-2563
Phone Number
334-308-9797
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PA.1898 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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