Individual
GWENDOLYN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 ROSETTE WAY, MARIETTA, GA 30062-4766
(770) 321-2244
Mailing address
1201 ROSETTE WAY, MARIETTA, GA 30062-4766
(770) 321-2244
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN159975
GA
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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