STACIE S LEWIS

MCDONOUGH, GA
NPI1316418692
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN201620)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  RN201620)
Enumeration Date2018-12-11
Last Update Date2018-12-11
Business Address
Mrs. STACIE S LEWIS NP
384 RACETRACK RD
MCDONOUGH, GA 30252-1022
Phone number: 678-432-8811
Mailing Address
Mrs. STACIE S LEWIS NP
384 RACETRACK RD
MCDONOUGH, GA 30252-1022
Phone number: 678-432-8811