# LEWIS MEDICAL ENTERPRISES

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

## Provider details

- **NPI number:** 1760662332
- **Authorized official:** GUY LEWIS (OWNER)
- **Authorized official phone:** (678) 371-0031

## Contact information

- **Practice address:** 4028 HIGHWAY 5, DOUGLASVILLE, GA 30135-3530
- **Practice address phone:** (678) 371-0031
- **Mailing address:** 284 MOUNT ZION CHURCH RD, WHITESBURG, GA 30185-2342
- **Mailing address phone:** (678) 371-0031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN095208NP | GA | Yes |

## Other

- **Enumeration date:** 11/12/2007
- **Last updated:** 11/15/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GRP7342 | MEDICARE GROUP NUMBER | GA |