Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB DWAYNE LEWIS
Active Sole ProprietorMR. JACOB DWAYNE LEWIS is a Bus healthcare provider located in RIVERDALE, Georgia. NPI 1124874607 is currently active in the NPPES registry. Verify at CMS.
Bus · RIVERDALE, GA
Registration Details
- NPI Number
- 1124874607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2024 (2.1235210957143 yrs)
- Last Updated
- Apr 29, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
8179 TRACE CTRIVERDALE, GA, 302744318Browse GA providers · Browse ZIP 30274
- Phone
- 4706342692
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in RIVERDALE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. LEON KING SR. | — | 1184928624 |
| DARRELL TINCH | — | 1023405669 |
| DERRICKAH TIARAH GARDNER | — | 1548905946 |
| MR. JACKMAN LOUIS LEBLANC JR. | — | 1710662820 |
| ISATOU CEESAY | — | 1609732783 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.