Individual
JENNIFER BRACKETT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., A.T.,C.
Contact information
Practice address
12 DAWSON MARKET WAY STE 320, DAWSONVILLE, GA 30534-7296
(470) 759-2415
(706) 441-3321
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005634
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52183607001
BCBS AUSTELL LOCATION
GA
01
—
52183607002
BCBS MARIETTA LOCATION
GA
01
—
52183607003
BCBS WOODSTOCK LOCATION
GA
01
—
52183607004
BCBS DOUGLASVILLE LOCATIO
GA
Enumeration date
07/03/2006
Last updated
02/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us