Individual
SHERISE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 BROADRICK DR, DALTON, GA 30720-2503
(212) 734-6621
Mailing address
401 MATERA DR NW, CARTERSVILLE, GA 30120-3305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
290283
GA
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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