Individual
HEATHER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
308 E LONG ST, CLAXTON, GA 30417-1412
(912) 290-5235
Mailing address
308 E LONG ST, CLAXTON, GA 30417-1412
(912) 290-5235
(478) 744-0481
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006787
GA
Other
Enumeration date
05/07/2013
Last updated
10/14/2025
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