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1235951070
RICHARD AUSTIN LEWALLEN
DALTON, GA
NPI
1235951070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA GAA-NP002848)
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
MR. RICHARD AUSTIN LEWALLEN PMHNP-BC
1102 W WAUGH ST
DALTON, GA 30720-8769
Phone number: 706-277-2321
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Mailing Address
MR. RICHARD AUSTIN LEWALLEN PMHNP-BC
414 CRISMAN ST
CHATTANOOGA, TN 37415-4528
Phone number: 423-933-7186
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