# JERRY MADISON LEWTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285699934
- **Gender:** Man
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN158379 | GA | — |
| 163WC0200X | Critical Care Medicine Registered Nurse | RN158379 | GA | Yes |
| 163WG0000X | General Practice Registered Nurse | RN158379 | GA | — |
| 163WH0200X | Home Health Registered Nurse | RN158379 | GA | — |
| 163WH0500X | Hemodialysis Registered Nurse | RN158379 | GA | — |
| 163WP0200X | Pediatric Registered Nurse | RN158379 | GA | — |
| 163WW0000X | Wound Care Registered Nurse | RN158379 | GA | — |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 03/27/2011