Individual
AMY LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3905 DUE WEST RD NW, MARIETTA, GA 30064-1019
(678) 290-5740
Mailing address
3905 DUE WEST RD NW, MARIETTA, GA 30064-1019
(678) 290-5740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021030863
GA
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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