Individual
CHANTAL ANEKA RAHEEDA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 REED RD STE 104, DALTON, GA 30720-6310
(706) 278-1622
(706) 272-6445
Mailing address
475 REED RD STE 104, DALTON, GA 30720-6310
(706) 278-1622
(706) 272-6445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
079901
GA
207R00000X
Internal Medicine Physician
MT205027
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
079901
GA
Other
Enumeration date
07/17/2013
Last updated
01/25/2024
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