JACQUELINE LEWIS

ELLENWOOD, GA
NPI1093263071
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN172074)
Enumeration Date2016-09-19
Last Update Date2025-03-19
Business Address
JACQUELINE LEWIS NP
304 SUMMIT HEIGHTS CT STE 120
ELLENWOOD, GA 30294-2973
Phone number: 404-552-5128
Mailing Address
JACQUELINE LEWIS NP
304 SUMMIT HEIGHTS CT STE 120
ELLENWOOD, GA 30294-2973
Phone number: 404-552-5128
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