Individual
EDWARD K LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3148
(404) 403-6416
Mailing address
5300 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3148
(404) 403-6416
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008662
GA
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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