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NPI Code Detail

MEDICARE: DR. JIMMY HEWITT II D.O.

MEDICARE: DR. JIMMY HEWITT II D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician065124GA
2207Q00000XFamily Medicine PhysicianD01436SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DO1436OTHERSCLICENSE

General Provider Information

NPI Number : 1558334144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIMMY HEWITT II D.O.
Provider Business Mailing Address
First Line : PO BOX 2510
Second Line :
City : EVANS
State : GA
Zip : 30809-2510
Country : US
Telephone Number : 706-922-8274
Fax Number : 706-922-8251
Provider Business Practice Location Address
First Line : 105 E HUGH ST
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29841-2925
Country : US
Telephone Number : 803-279-6800
Fax Number : 803-279-2876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 04/17/2026

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