Lewter, Jerry Madison

Lewter, Jerry Madison is an individual health care provider with primary practice located at 3726 Ashford Dunwoody Rd Ne Apt N, Atlanta GA 30319-1873. He recently has 7 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Home Health, Nursing Service Providers / Wound Care, Nursing Service Providers / Hemodialysis, Nursing Service Providers / General Practice. Nursing Service Providers / Critical Care Medicine is his primary health care specialty. Lewter, Jerry Madison can be contacted via phone (678) 404-2343.

Contact Information

Primary practice address
3726 Ashford Dunwoody Rd Ne Apt N Atlanta GA 30319-1873
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN158379 Georgia
Nursing Service Providers / Registered Nurse 163W00000X RN158379 Georgia
Nursing Service Providers / Critical Care Medicine 163WC0200X RN158379 Georgia
Nursing Service Providers / Home Health 163WH0200X RN158379 Georgia
Nursing Service Providers / Wound Care 163WW0000X RN158379 Georgia
Nursing Service Providers / Hemodialysis 163WH0500X RN158379 Georgia
Nursing Service Providers / General Practice 163WG0000X RN158379 Georgia

Profile Details

NPI number 1285699934
LBN Legal business name Lewter, Jerry Madison
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 27th, 2011 - about 13 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 1285699934 NPPES
Georgia Other RN158379 RN LICENSE

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