Norman, John Lewis

Norman, John Lewis is an individual health care provider with primary practice located at 3131 S Main St , Moultrie GA 31768-6925. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Norman, John Lewis can be contacted via phone (229) 591-9131.

Contact Information

Primary practice address
3131 S Main St Moultrie GA 31768-6925
Phone: (229) 591-9131
Fax: (229) 891-9079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R051263 Georgia

Profile Details

NPI number 1376562934
LBN Legal business name Norman, John Lewis
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Nov 26th, 2008 - about 17 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 1376562934 NPPES
Georgia MEDICAID 00556685F
Georgia MEDICAID 000556685H
Georgia MEDICAID 639663690A
Georgia Other R051263

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