Individual
AMANDA LAUREN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
350 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-9084
(770) 692-4000
Mailing address
147 PRESIDENTS WALK, BARNESVILLE, GA 30204-1103
(404) 975-9416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04170361
GA
Other
Enumeration date
04/26/2017
Last updated
11/01/2022
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