Provider Demographics
NPI:1932736113
Name:BALMER, JACOB CLARK (MD)
Entity type:Individual
Prefix:DR
First Name:JACOB
Middle Name:CLARK
Last Name:BALMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:1330 BOILING SPRINGS RD STE 2300
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-4212
Practice Address - Country:US
Practice Address - Phone:864-585-6491
Practice Address - Fax:864-585-1368
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2025-07-14
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Provider Licenses
StateLicense IDTaxonomies
SC93844208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery