Individual
DR. TAMARA HUDSON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 COLONY PT, FAYETTEVILLE, GA 30215-6507
(229) 312-8878
Mailing address
3000 SHAKERAG HL, PEACHTREE CITY, GA 30269-3365
(770) 631-9999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63710
GA
Other
Enumeration date
02/11/2010
Last updated
02/12/2016
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