Samantha Lewis, CPNP
Nurse Practitioner, Pediatrics in Snellville, GA. Individual provider (NPI-1).
NPI number1407216393
StatusActive
Last updated in NPPESMar 4, 2016
Details
- NPI
- 1407216393
- Entity type
- Individual (NPI-1)
- Name
- Samantha Lewis
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2016
- Last updated
- Mar 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | RN225064 | GA | Yes |
Practice location
1700 Tree LnSuite 110
Snellville, GA 30078-6782
Phone 678-775-1501
Mailing address
1700 Tree LnSuite 110
Snellville, GA 30078-6782
Phone 678-775-1501
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