Individual ProviderJacob Bradley PhomasCounselorBehavioral Health & Social Service ProvidersPractice Address1815 N Expressway Ste B, Griffin, GA 30223-1185(678) 408-4622PECOS EnrollmentBased on the most recent information from CMS, provider Jacob Bradley Phomas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1699362574Provider TypeIndividualFull NamePhomas, Jacob BradleyGenderMaleSole ProprietorNoEnumeration Date12/28/2020Last Updated12/28/2020Contact InformationPractice LocationPractice Address1815 N Expressway Ste B, Griffin, GA 30223-1185Phone(678) 408-4622FaxUnlisted FaxMailing LocationMailing Address1815 N Expressway Ste B, Griffin, GA 30223-1185Phone(678) 408-4622FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer