Individual provider · Type 1 NPI

Xavier Orlando Jacques, MD

Student in an Organized Health Care Education/Training Program · Fort Moore, GA

NPI number 1952090904 Active

Practice location

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952090904

Xavier Orlando Jacques, MD's National Provider Identifier is 1952090904, issued on May 4, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Moore, GA. The record was last updated on Aug 21, 2024.