Individual
BROOKE HANAWAY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
134 RIVERSTONE TER STE 202, CANTON, GA 30114-1705
(770) 213-8942
(770) 213-4158
Mailing address
2970 BRANDYWINE RD STE 125, ATLANTA, GA 30341-5521
(404) 256-2593
(770) 488-9408
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
055951
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780942438A
—
GA
Enumeration date
05/09/2006
Last updated
04/23/2026
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