IndividualActive
Jacob Ward, MD
NPI 1336224260 · Pain Medicine Physician · Canton, GA
Provider details
- NPI number
- 1336224260
- Entity type
- Individual
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 32075 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2000 Village Professional Dr Ste 200
Canton, GA 30114-8499
Phone: (678) 661-4545
Fax: (678) 880-8151
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Village Professional Dr Ste 200
Canton, GA 30114-8499
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2022-02-09
- Certified
- 2022-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.