Individual
SHARELL MONEA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., ATC, LAT
Contact information
Practice address
516 N GREENWOOD ST, LAGRANGE, GA 30240-2204
(706) 668-6800
Mailing address
516 N GREENWOOD ST, LAGRANGE, GA 30240-2204
(706) 668-6800
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002794
GA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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