Individual
MRS. KIMBERLY SUE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2280 HIGHWAY 29 N, NEWNAN, GA 30265-1031
(770) 253-8833
Mailing address
144 GERRI DR, NEWNAN, GA 30263-4291
(770) 252-2586
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PT006631
GA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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