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Individual

JOY MICHELLI LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
Mailing address
445 BONAVENTURE WAY, APPLING, GA 30802-3423

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
RN144612
GA
363L00000X
Nurse Practitioner
Primary
RN144612
GA

Other

Enumeration date
01/22/2019
Last updated
10/07/2024
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