Individual
REBECCA ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 13TH ST, AUGUSTA, GA 30901-2700
(706) 823-6177
Mailing address
811 13TH ST, AUGUSTA, GA 30901-2700
(706) 823-6177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN229756
GA
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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