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General NPI Number Information
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NPI Number | 1558334144
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Entity Type | Individual
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Provider Name | JIMMY HEWITT II D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 105 E HUGH ST
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-2925
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Country | US
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Telephone | 803-279-6800
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Fax | 803-279-2876
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Provider Business Mailing Address
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Address Line | PO BOX 2510
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City | EVANS
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State | GA
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Zip | 30809-2510
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Country | US
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Telephone | 706-922-8274
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Fax | 706-922-8251
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 065124
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D01436
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License Number State | SC
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