Daniel, Wesley Lewis

Daniel, Wesley Lewis is an individual health care provider with primary practice located at 1975 Beverly Rd Suite B, Gainesville GA 30501-2034. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Daniel, Wesley Lewis can be contacted via phone (770) 536-9908.

Contact Information

Primary practice address
1975 Beverly Rd Suite B Gainesville GA 30501-2034
Phone: (770) 536-9908
Fax: (770) 532-7102
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 395 Georgia
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 395 Georgia

Profile Details

NPI number 1366513905
LBN Legal business name Daniel, Wesley Lewis
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Aug 25th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366513905 NPPES
Georgia MEDICAID 00064435A

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