Individual
DR. DOUGLAS EDWARD LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2550 BLACKMON DR APT 4214, DECATUR, GA 30033-6232
(434) 548-3656
Mailing address
1230 BALD RIDGE MARINA RD STE 800, CUMMING, GA 30041-7536
(434) 548-3656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004426
GA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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