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Individual

MS. SHARITA LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1451 GA HIGHWAY 21 S STE H, SPRINGFIELD, GA 31329-5244
(912) 754-1035
(912) 754-1037
Mailing address
PO BOX 818, SPRINGFIELD, GA 31329-0818

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN258460
GA

Other

Enumeration date
05/01/2023
Last updated
05/01/2023
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