Individual
MRS. ANNIE MAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, RN, COSM
Contact information
Practice address
1968 NORTH AVE, COLUMBUS, GA 31901-1525
(706) 315-9839
Mailing address
1968 NORTH AVE, COLUMBUS, GA 31901-1525
(706) 225-0355
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN066472
GA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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