Individual
AMANDA BLAIR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
1292 WILLIVEE DR, DECATUR, GA 30033-4120
(404) 518-1556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8727
GA
Other
Enumeration date
02/14/2018
Last updated
09/07/2022
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