License holder summary

SUMMERFORD, JACOB PORTER is a Medical - Physician Assistant licensed to practice in Georgia. The address on file for SUMMERFORD, JACOB PORTER is 1100 NORTHSIDE FORSYTH DRIVE, CUMMINGS 30041. This doctor license is current. The license was granted 05/05/2016 and expired on 03/31/2018.

Georgia

Composite Medical Board

SUMMERFORD, JACOB PORTER
Medical - Physician Assistant
License number
007958
Date granted
05/05/2016
Date expires
03/31/2018
Class
Medical - Physician Assistant
Status
Active
Address
1100 NORTHSIDE FORSYTH DRIVE
georgiadoctors.net
ID 38101893
LAST UPDATED 2024-02-27 11:45:31 UTC

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