Individual
MS. MELODI LYNNE LEWIS-CARVOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 CURTIS PKWY NE, SUITE 1, CALHOUN, GA 30701-2062
(706) 879-5770
(706) 624-4336
Mailing address
1434 BROADRICK DR, DALTON, GA 30720-3009
(706) 278-5961
(706) 275-0280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
280
TN
363A00000X
Physician Assistant
Primary
PA 2660
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4720
GROUP #
—
Enumeration date
07/31/2009
Last updated
10/05/2018
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