Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob William Greenway

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043009145

Jacob William Greenway is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

1120 15th St # BP4109
Augusta, GA 30912-0006
Phone: (706) 721-4307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 17411 (GA)

Record details

NPI number1043009145
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address1120 15th St # Bp4109, Augusta, GA 30912-0006

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