RICHARD AUSTIN LEWALLEN

DALTON, GA
NPI1235951070
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: GA  GAA-NP002848)
Enumeration Date2024-10-31
Last Update Date2024-10-31
Business Address
MR. RICHARD AUSTIN LEWALLEN PMHNP-BC
1102 W WAUGH ST
DALTON, GA 30720-8769
Phone number: 706-277-2321
Mailing Address
MR. RICHARD AUSTIN LEWALLEN PMHNP-BC
414 CRISMAN ST
CHATTANOOGA, TN 37415-4528
Phone number: 423-933-7186