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Individual

AUSTIN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1350 SCENIC HWY N, SNELLVILLE, GA 30078-7907
(678) 218-8088
Mailing address
941 ALDER GROVE TRCE, LOGANVILLE, GA 30052-4360
(804) 687-8192

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
07/30/2024
Last updated
07/30/2024
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