Individual
GINNA ASHLEY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC, CSCS
Contact information
Practice address
400 ATLANTIC CHRISTIAN COL DR NE, WILSON, NC 27893-2575
(540) 241-1664
Mailing address
PO BOX 5000, WILSON, NC 27893-7000
(540) 241-1664
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2132
NC
Other
Enumeration date
01/28/2015
Last updated
04/07/2022
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