Individual
MITZI LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1525 CLIFTON RD NE, SUITE 207, ATLANTA, GA 30322-4200
(404) 778-4451
(404) 778-4355
Mailing address
789 MOCKINGBIRD LN, MARIETTA, GA 30068-2357
(770) 971-5789
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN145510 NP
GA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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