NPI 1174230320

Jacob Carson, CSFA

Practitioner Surgical Assistant Woodstock, GA

Practice location

Address: 5341 Holly Springs Pkwy STE 207-106, Woodstock, GA 30188-2492
Phone: (214) 227-2457
Fax: (214) 764-0880
Mailing address: PO Box 2550, Rowlett, TX 75030-2550

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 213549 (GA)

Other Specialist/Technologist, Other providers in Georgia →

Registry record

NPI: 1174230320
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2022
Record last updated: 10 Jun 2024

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.