Lewis, Brooke Hanaway
Lewis, Brooke Hanaway is an individual health care provider with primary practice located at 134 Riverstone Ter Ste 202 , Canton GA 30114-1705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as her primary health care specialty. Lewis, Brooke Hanaway can be contacted via phone (404) 256-2593.Contact Information
Primary practice address
134 Riverstone Ter Ste 202
Canton GA 30114-1705
Phone: (404) 256-2593
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 055951 | Georgia |
Profile Details
| NPI number | 1669421434 |
|---|---|
| LBN Legal business name | Lewis, Brooke Hanaway |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jan 25th, 2021 - about 3 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 | 1669421434 | NPPES |
| Georgia | MEDICAID | 780942438A |
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