Individual
MARY ANNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MILLER RD, DOUGLAS, GA 31535-7109
(912) 850-6665
Mailing address
105 MILLER RD, DOUGLAS, GA 31535-7109
(912) 850-6665
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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