Individual
MARCIA L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3021 ATLANTA HGHWAY, ATHENS, GA 30606-2644
(706) 352-0911
Mailing address
190 VALLEYBROOK DR, ATHENS, GA 30606-2466
(706) 352-7941
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
KN-000389
GA
163W00000X
Registered Nurse
Primary
RN232156
GA
Other
Enumeration date
01/02/2024
Last updated
01/11/2024
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