ELLEN LEWIS

LOGANVILLE, GA
NPI1992979793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  RN116778)
Enumeration Date2008-04-14
Last Update Date2014-10-31
Business Address
-- ELLEN LEWIS APRN
367 ATHENS HWY STE 1050
LOGANVILLE, GA 30052-2204
Phone number: 770-554-2999
Mailing Address
-- ELLEN LEWIS APRN
1540 RUNNYMEDE CT SW
LILBURN, GA 30047-3300
Phone number: 770-982-7516
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