Justin Lewis
Justin Lewis is a Contractor in Valdosta, Georgia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
704 E Jane StValdosta, GA 31601-4119
Phone: (229) 437-0457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1669132866 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 29, 2021 |
| Last updated in NPPES | December 29, 2021 |
| Certification date | December 29, 2021 |
| Mailing address | 704 E Jane St, Valdosta, GA 31601-4119 |
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