Lewis, Dornel J

Lewis, Dornel J is an sole proprietor health care provider with primary practice located at 2808 E Atlanta Rd Suite 344, Ellenwood GA 30294-2780. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Lewis, Dornel J can be contacted via phone (404) 434-0401.

Contact Information

Primary practice address
2808 E Atlanta Rd Suite 344 Ellenwood GA 30294-2780
Phone: (404) 434-0401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN248615 Georgia
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN248615 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN248615 Georgia

Profile Details

NPI number 1861462624
LBN Legal business name Lewis, Dornel J
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Jul 1st, 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.

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