Individual
BROOKE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
706 DIXIE ST STE 200, CARROLLTON, GA 30117-3889
(770) 812-8825
(770) 812-5910
Mailing address
104 KINGSBROOKE DR, PALMETTO, GA 30268-8535
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP297733
GA
Other
Enumeration date
04/08/2024
Last updated
11/19/2025
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