1972504488 Clyde Tyrone Jacob Iii, M.D.

Obstetrics & Gynecology Physician

Active

Basic Information

Full Name
Clyde Tyrone Jacob Iii, M.D.
Gender
Male
Enumeration Date
August 9, 2005
Last Update
December 14, 2023

Practice Location

Address
6325 HOSPITAL PKWY
JOHNS CREEK, GA 300975775
Phone
(678) 474-7000

Mailing Address

Address
5950 CABOTAGE RD
DULUTH, GA 300978475
Phone
(908) 397-2019

Specialties & Taxonomies

Specialty Code Classification License State Primary
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology 01089636A IN No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology 1999591 NY No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology ME162114 FL No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology C1-0025884 DE No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology 25MA09347700 NJ No
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology 81399 GA Primary

Other Identifiers

Identifier Type State Issuer
02219496 05 NY N/A

Additional Practice Locations

3950 Austell Rd
Austell, GA 301061121

Phone: (770) 793-5913

Fax: (770) 999-2445

Digital Endpoints

DIRECT Use: HIE

cjacob534112@directwellstar.org

Frequently Asked Questions

What is Clyde Tyrone Jacob Iii, M.D.'s NPI number?
Clyde Tyrone Jacob Iii, M.D.'s NPI number is 1972504488.
Which doctor has NPI number 1972504488?
The doctor with NPI number 1972504488 is Clyde Tyrone Jacob Iii, M.D..
What is Clyde Tyrone Jacob Iii, M.D.'s practice address?
Clyde Tyrone Jacob Iii, M.D.'s practice address is 6325 HOSPITAL PKWY, JOHNS CREEK, GA, 300975775.
Which doctor practices at 6325 HOSPITAL PKWY, JOHNS CREEK, GA, 300975775?
Clyde Tyrone Jacob Iii, M.D. practices at 6325 HOSPITAL PKWY, JOHNS CREEK, GA, 300975775.
What is Clyde Tyrone Jacob Iii, M.D.'s mailing address?
Clyde Tyrone Jacob Iii, M.D.'s mailing address is 5950 CABOTAGE RD, DULUTH, GA, 300978475.
What is Clyde Tyrone Jacob Iii, M.D.'s phone number?
Clyde Tyrone Jacob Iii, M.D.'s phone number is (678) 474-7000.
Who is (678) 474-7000?
(678) 474-7000 is the phone number for Clyde Tyrone Jacob Iii, M.D..
What is Clyde Tyrone Jacob Iii, M.D.'s specialty?
Clyde Tyrone Jacob Iii, M.D.'s specialty is Obstetrics & Gynecology Physician.
What type of doctor is Clyde Tyrone Jacob Iii, M.D.?
Clyde Tyrone Jacob Iii, M.D. is a Obstetrics & Gynecology Physician.
Is Clyde Tyrone Jacob Iii, M.D. a Obstetrics & Gynecology?
Yes, Clyde Tyrone Jacob Iii, M.D. is a Obstetrics & Gynecology.
Is Clyde Tyrone Jacob Iii, M.D. still practicing?
Yes, Clyde Tyrone Jacob Iii, M.D. is currently practicing.
Is Clyde Tyrone Jacob Iii, M.D. accepting new patients?
Clyde Tyrone Jacob Iii, M.D. may be accepting new patients. Please call their office at (678) 474-7000 to inquire about availability.
Is NPI 1972504488 still active?
Yes, NPI 1972504488 is currently active.
Where does Clyde Tyrone Jacob Iii, M.D. practice?
Clyde Tyrone Jacob Iii, M.D. practices in JOHNS CREEK, GA.
Is Clyde Tyrone Jacob Iii, M.D. a male or female doctor?
Clyde Tyrone Jacob Iii, M.D. is a male doctor.