Healthcare Provider Details
I. General information
NPI: 1740100650
Provider Name (Legal Business Name): JAD GLOBAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8459 PARK RIDGE LN
RIVERDALE GA
30274-4348
US
IV. Provider business mailing address
8459 PARK RIDGE LN
RIVERDALE GA
30274-4348
US
V. Phone/Fax
- Phone: 470-803-4790
- Fax:
- Phone: 470-803-4790
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JAZMIN
LEWIS
Title or Position: MD
Credential:
Phone: 470-803-4790