Lewis, Brandi
Lewis, Brandi is an individual health care provider with primary practice located at 1180 Ernest W Barrett Pkwy Nw Ste 102B , Kennesaw GA 30144. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lewis, Brandi can be contacted via phone (678) 354-2273.Contact Information
Primary practice address
1180 Ernest W Barrett Pkwy Nw Ste 102B
Kennesaw GA 30144
Phone: (678) 354-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35.094508 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E-10688 | Arkansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 76750 | Georgia |
Profile Details
| NPI number | 1003010976 |
|---|---|
| LBN Legal business name | Lewis, Brandi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2007 |
| Last updated | Sep 26th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003010976 | NPPES |
| Arkansas | MEDICAID | 221871001 |
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