Individual
JAKE LEWES HAMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 S ENOTA DR NE STE 480, GAINESVILLE, GA 30501-3473
(770) 599-2485
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12332
GA
Other
Enumeration date
01/12/2024
Last updated
06/29/2024
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