Mr. Jacob Dwayne Lewis
Mr. Jacob Dwayne Lewis is a Non-emergency Medical Transport (VAN) in Riverdale, Georgia. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
8179 Trace CtRiverdale, GA 30274-4318
Phone: (470) 634-2692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|
Record details
| NPI number | 1124874607 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2024 |
| Last updated in NPPES | April 29, 2024 |
| Certification date | April 29, 2024 |
| Mailing address | 1201 W Peachtree St Nw Ste 2625, Atlanta, GA 30309-3499 |
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