Samuel L Jewett, PA Valid NPI

Individual provider · Physician Assistant · Adairsville, GA

NPI

1760436752

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

002656 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-22

Last updated

2007-07-08