Individual
TILINA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, PCT
Contact information
Practice address
2497 BERMUDA DR, LOGANVILLE, GA 30052-4395
(678) 521-8849
Mailing address
2497 BERMUDA DR, LOGANVILLE, GA 30052-4395
(678) 521-8849
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HO003808
GA
Other
Enumeration date
10/06/2011
Last updated
10/08/2011
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