Dr Stephen Chacko Jacob, MD - Preventive Medicine in Marietta, GA

Dr Stephen Chacko Jacob, MD is a Preventive Medicine - Occupational Medicine physician based in Marietta, Georgia. Dr Stephen Chacko Jacob is licensed to practice in Georgia (license number 041142) and his current practice location is 3535 Roswell Rd Ste 40, Marietta, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 224-5334.

NPI number for Dr Stephen Chacko Jacob is 1700828795 and his current mailing address is 3535 Roswell Rd Ste 40, Marietta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700828795.

Contact Information

Dr Stephen Chacko Jacob, MD
3535 Roswell Rd Ste 40,
Marietta, GA 30062-8830
(678) 224-5334
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen Chacko Jacob
GenderMale
SpecialityPreventive Medicine - Occupational Medicine
Location3535 Roswell Rd Ste 40, Marietta, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700828795
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 02/12/2024

Medical Identifiers

Medical identifiers for Dr Stephen Chacko Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700828795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083X0100XPreventive Medicine - Occupational Medicine 041142 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Stephen Chacko Jacob is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Stephen Chacko Jacob, MD
3535 Roswell Rd Ste 40,
Marietta, GA 30062-8830

Ph: (678) 224-5334
Dr Stephen Chacko Jacob, MD
3535 Roswell Rd Ste 40,
Marietta, GA 30062-8830

Ph: (678) 224-5334

Reviews and Comments


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