Individual
CEDRIC LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5287 SHORTHORN WAY, POWDER SPRINGS, GA 30127-6915
(470) 426-0960
Mailing address
5287 SHORTHORN WAY, POWDER SPRINGS, GA 30127-6915
(470) 426-0960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN212775
GA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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