Lewis, Regina N

Lewis, Regina N is an individual health care provider with primary practice located at 918 S Broad St , Thomasville GA 31792-0918. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lewis, Regina N can be contacted via phone (229) 226-8800.

Contact Information

Primary practice address
918 S Broad St Thomasville GA 31792-0918
Phone: (229) 226-8800
Fax: (229) 226-8232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN086419 Georgia

Profile Details

NPI number 1902851512
LBN Legal business name Lewis, Regina N
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902851512 NPPES
Georgia MEDICAID 00638503A

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