NPI 1821537655

Three in One Medical

Organisation Preferred Provider Organization Lilburn, GA

Practice location

Address: 5222 Addison Trl SW, Lilburn, GA 30047-6670
Phone: (770) 282-9860

Authorised official

Name: Stanley Earl Jacobs
Title: Owner
Phone: (770) 282-9860

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 305R00000X (GA)

Other Preferred Provider Organization providers in Georgia →

Registry record

NPI: 1821537655
Entity type: Organization
NPI issued: 13 Feb 2017
Record last updated: 13 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.