Individual provider · Type 1 NPI

Jasmine Lake

Obstetrics & Gynecology Physician · Macon, GA

NPI number 1043159130 Active

Practice location

777 Hemlock St
Macon, GA 31201-2102

Call (478) 633-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X112784 (GA)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1043159130

Jasmine Lake's National Provider Identifier is 1043159130, issued on Mar 25, 2026. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Macon, GA. The record was last updated on Jun 15, 2026.