| Doctor Name: | WILLIAM ANDERSON JACOBS |
| NPI Number: | 1356428585 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME0047311 |
| Business Practice Address: | 3185 Highway 17 Green Cove Springs, FL - 320439371 |
| Business Phone Number: | 9042844222 |
| Business Fax Number: | 9042842025 |
| Mailing Address: | 3185 Highway 17, GREEN COVE SPRINGS |
| State: | FL |
| Postal Code: | 320439371 |
| Phone Number: | 9042844222 |
| Fax Number: | 9042842025 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 11/06/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME0047311 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |