Individual
MR. TERRY LEWIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4935 RIVER OVERLOOK WAY, LITHONIA, GA 30038-6237
(404) 462-1233
Mailing address
4935 RIVER OVERLOOK WAY, LITHONIA, GA 30038-6237
(404) 462-1233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
164W00000X
Licensed Practical Nurse
LPN090245
GA
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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