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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851599476 | NPPES |
Georgia | MEDICAID | 903741496E |
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