Individual
DR. KRISTIN H LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 607-7339
Mailing address
PO BOX 200096, CARTERSVILLE, GA 30120-9002
(770) 607-7339
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37599
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000892691A
—
GA
Enumeration date
11/18/2005
Last updated
04/23/2020
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