| NPI | 1245353705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE GUY LEWIS President 678-371-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN095208NP) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |