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Individual

SAMANTHA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
1700 TREE LN, SUITE 110, SNELLVILLE, GA 30078-6782
(678) 775-1501
Mailing address
1700 TREE LN, SUITE 110, SNELLVILLE, GA 30078-6782
(678) 775-1501

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN225064
GA

Other

Enumeration date
03/04/2016
Last updated
03/04/2016
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