Individual
MICHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 FOREST CIR APT 701, NEWNAN, GA 30265-3866
(678) 933-5036
Mailing address
22 FOREST CIR APT 701, NEWNAN, GA 30265-3866
(678) 933-5036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LIC-HOM-24-000208
GA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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