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Individual

MONICA DENISE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1423 WINYAH ST, GEORGETOWN, SC 29440-4730
(843) 546-6081
Mailing address
1501 BIG BAY RD, ANDREWS, SC 29510-5361
(843) 325-9783

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F04210486
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F04210486
FNP CERTIFICATION
SC
Enumeration date
10/22/2021
Last updated
10/22/2021
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