Individual
DR. JOYCE ROCHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3700 MARKET ST, STE C, CLARKSTON, GA 30021-2652
(404) 298-9333
(404) 298-9931
Mailing address
3700 MARKET ST, STE C, CLARKSTON, GA 30021-2652
(404) 298-9333
(404) 298-9931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041874
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000708408R
—
GA
05
—
000708408S
—
GA
01
—
0101285
UNITED HEALTHCARE
—
01
—
0864145006
CIGNA
—
01
—
1036625-300
FIRST HEALTH
—
01
—
1215932751
GROUP NP
GA
01
—
21149336803
BEECHSTREET
—
01
—
52508065-003
BLUE CROSS BLUE SHIELD
—
01
—
588779
AETNA
—
01
—
AETNA
5790459
—
Enumeration date
06/09/2005
Last updated
12/23/2014
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