Individual
MRS. HOLLY MELISSA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4766 SUNSET BLVD STE A, LEXINGTON, SC 29072-9252
(803) 381-5637
Mailing address
507 TRAM RD, COLUMBIA, SC 29210-4420
(803) 546-9908
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
21682
SC
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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