Individual
DR. CHANNON BROWN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
905 SAINT JOHNS AVE, PALATKA, FL 32177-4649
(386) 328-2710
Mailing address
419 ANASTASIA BLVD # A, ST AUGUSTINE, FL 32080-4508
(904) 824-8353
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14652
FL
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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