Lewis, Stacie S
Lewis, Stacie S is an individual health care provider with primary practice located at 384 Racetrack Rd , Mcdonough GA 30252-1022. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Lewis, Stacie S can be contacted via phone (678) 432-8811.Contact Information
Primary practice address
384 Racetrack Rd
Mcdonough GA 30252-1022
Phone: (678) 432-8811
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN201620 | Georgia |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN201620 | Georgia |
Profile Details
NPI number | 1316418692 |
---|---|
LBN Legal business name | Lewis, Stacie S |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 11th, 2018 |
Last updated | Dec 11th, 2018 - about 6 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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