Individual
MONIQUE YEVETTE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
280 MERCHANTS DR UNIT 438, DALLAS, GA 30132-0702
(470) 257-2467
Mailing address
280 MERCHANTS DR UNIT 438, DALLAS, GA 30132-0702
(470) 257-2467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN284065
GA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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