Individual
MS. ELAINE Y LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 QUEENSLAND LN, COVINGTON, GA 30016-3100
(404) 210-3017
(678) 874-1710
Mailing address
205 QUEENSLAND LN, COVINGTON, GA 30016-3100
(404) 210-3017
(678) 874-1710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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