Healthcare Provider Details

I. General information

NPI: 1457255523
Provider Name (Legal Business Name): S & L AUTOMOTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 WILLARD AVE APT A
ALBANY GA
31701-0926
US

IV. Provider business mailing address

612 WILLARD AVE APT A
ALBANY GA
31701-0926
US

V. Phone/Fax

Practice location:
  • Phone: 888-651-3374
  • Fax:
Mailing address:
  • Phone: 888-651-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. TAVARUS LEWIS
Title or Position: CEO
Credential:
Phone: 888-651-3374