Individual
GLEN LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5461 MERIDIAN MARK RD STE 400, ATLANTA, GA 30342-3283
(404) 785-1112
(404) 785-3600
Mailing address
5461 MERIDIAN MARK RD STE 400, ATLANTA, GA 30342-3283
(404) 785-1112
(404) 785-3600
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
41457
GA
Other
Enumeration date
04/17/2006
Last updated
06/06/2022
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