Individual
COLLEEN MARGARET LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-1900
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-1900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN177160
GA
Other
Enumeration date
08/22/2008
Last updated
12/16/2011
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