Individual
BETH A LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
865 S 1ST ST, JESUP, GA 31545-0210
(912) 530-3178
Mailing address
PO BOX 484, JESUP, GA 31598-0484
(912) 424-3114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN203961
GA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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