Individual
ANN GRANT LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6331
Mailing address
1730 COLONY RD, ROCK HILL, SC 29730-3810
(704) 300-1876
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000150976
TN
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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