Lewis, Chad Edward

Lewis, Chad Edward is an individual health care provider with primary practice located at 1600 Medical Way Suite 140, Snellville GA 30078-2166. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Lewis, Chad Edward can be contacted via phone (770) 979-8080.

Contact Information

Primary practice address
1600 Medical Way Suite 140 Snellville GA 30078-2166
Phone: (770) 979-8080
Fax: (770) 979-8099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1573 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5094 Georgia

Profile Details

NPI number 1851599476
LBN Legal business name Lewis, Chad Edward
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Mar 13th, 2024 - about 8 months 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 1851599476 NPPES
Georgia MEDICAID 903741496E

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