Individual
MICHAEL T LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
440 GRAND OAK LN, DAHLONEGA, GA 30533-6793
(770) 241-1357
Mailing address
440 GRAND OAK LN, DAHLONEGA, GA 30533-6793
(770) 241-1357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143594G
—
GA
05
—
003143594H
—
GA
05
—
003143594I
—
GA
Enumeration date
03/29/2011
Last updated
02/19/2025
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