Individual provider · NPI-1

Marsha M Lewis, MPH, RDN, CDE, LD

Dietitian, Registered · Dublin, GA

NPI number1043786221
StatusActive
Last updated in NPPESJul 3, 2022

Details

NPI
1043786221
Entity type
Individual (NPI-1)
Name
Marsha M Lewis
Credential
MPH, RDN, CDE, LD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 16, 2018
Certification date
Jul 3, 2022
Last updated
Jul 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, RegisteredLD002496GAYes

Practice location

908 Hillcrest Pkwy
Dublin, GA 31021-4206

Phone 478-272-7411 · Fax 478-274-8390

Mailing address

908 Hillcrest Pkwy
Dublin, GA 31021-4206

Phone 478-272-7411 · Fax 478-274-8390

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