Individual
VICTORIA LEWIS-HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
041156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000582909N
—
GA
Enumeration date
11/30/2006
Last updated
07/08/2007
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