Individual
DANA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1760 GLENEDEN CT, GRAYSON, GA 30017-1489
(404) 932-2248
Mailing address
1760 GLENEDEN CT, GRAYSON, GA 30017-1489
(404) 932-2248
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
APC009822
GA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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