Individual
MRS. JILL CARTER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2601 ROSEWOOD DR, COLUMBIA, SC 29205-3745
(803) 782-4051
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2958
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1811
—
SC
Enumeration date
09/25/2006
Last updated
11/11/2024
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