Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 042065 | GA |
NPI | 1366415390 |
---|---|
Provider Name | Dr. Juha I Jaakkola |
First Address | Savannah, GA 31405 |
Second Address | Savannah, GA 31405-6736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 23/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000908751F | (05) | FL |
00908715A | (05) | GA |
H37077 | (02) | |
H37077 | (02) | GA |