Individual
KA'NESHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 PIEDMONT RD NE, MARIETTA, GA 30066-3636
(770) 795-9844
Mailing address
100 PIEDMONT RD NE, MARIETTA, GA 30066-3636
(770) 795-9844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06212266
GA
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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