JACOB DWAYNE LEWIS

RIVERDALE, GA
NPI1124874607
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2024-04-25
Last Update Date2024-04-29
Business Address
Mr. JACOB DWAYNE LEWIS
8179 TRACE CT
RIVERDALE, GA 30274-4318
Phone number: 470-634-2692
Mailing Address
Mr. JACOB DWAYNE LEWIS
1201 W PEACHTREE ST NW STE 2625
ATLANTA, GA 30309-3499
Phone number: 470-634-2692
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