Individual
TRACEY MICHELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
2021 N MYRTLE POINT BLVD STE 102, NORTH MYRTLE BEACH, SC 29582-2224
(843) 366-3060
(843) 366-3069
Mailing address
2021 N MYRTLE POINT BLVD STE 102, NORTH MYRTLE BEACH, SC 29582-2224
(843) 366-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24580
SC
Other
Enumeration date
03/07/2020
Last updated
03/10/2021
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