MR. Jacob Dwayne Lewis

NPI #1124874607 in Riverdale, Georgia

Provider Information

NPI Number
1124874607
Entity Type
Individual
Name
MR. Jacob Dwayne Lewis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 25, 2024
Last Updated
Apr 29, 2024

Practice Location

Address
8179 TRACE CT
State
Georgia
ZIP Code
30274-4318
Phone
(470) 634-2692

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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