Individual
ZODIE ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADMIN ASS/ CNA
Contact information
Practice address
6 E GATE DR, TIFTON, GA 31794-9513
(229) 402-7637
Mailing address
6 E GATE DR, TIFTON, GA 31794-9513
(229) 402-7637
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CN0000054770
GA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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