# ELLEN LEWIS CONSULTING INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255604419
- **Authorized official:** ELLEN LEWIS (CEO)
- **Authorized official phone:** (770) 361-4910

## Contact information

- **Practice address:** 404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
- **Practice address phone:** (770) 361-4910
- **Mailing address:** 1540 RUNNYMEDE CT SW, LILBURN, GA 30047-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | Yes |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2012
- **Last updated:** 02/20/2012