Individual
DY'MIAN JEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-2505
(706) 721-5566
Mailing address
1411 LANEY WALKER BLVD STE BI1056, AUGUSTA, GA 30912-0002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN287568
GA
Other
Enumeration date
08/06/2025
Last updated
10/10/2025
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