JACOB ABRAHAM, DO

NPI 1528588142 Active Family Medicine

Quick Facts

NPI Number

1528588142

Type

Individual (NPI-1)

Credential

Status

Active

Enumeration Date

2017-06-24

Last Updated (NPPES)

2025-02-06

Primary Specialty / Taxonomy

Taxonomy	Family Medicine
Taxonomy Code	`207Q00000X`
License	085757 GA

Other Taxonomies

Student in an Organized Health Care Education/Training Program — License 5101023560

Practice Address

200 DOCTORS DR STE K
DOUGLAS, GA 315332202

Phone: 912-384-4024

Mailing Address

PO BOX 1377
DOUGLAS, GA 315341377

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.