Individual
LEWIS S KRITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1357 HEMBREE RD, SUITE 250, ROSWELL, GA 30076-5722
(770) 475-7550
(770) 343-9080
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
(678) 284-4076
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
040711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000877654C
—
GA
01
—
340018091
RAILROAD MEDICARE
GA
Enumeration date
09/13/2006
Last updated
03/07/2023
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