person
Rod Lee Lewis, NP
Family Nurse Practitioner in Dalton, Georgia
NPI 1043523897

Rod Lee Lewis is a Family Nurse Practitioner based in Dalton, GA and is specialized in Family. Rod Lee Lewis practices in Dalton, GA and has the professional credentials of NP. The NPI Number for Rod Lee Lewis is 1043523897 and holds a License No. RN068366 (Georgia).

The current practice location address for Rod Lee Lewis is 1107 Memorial Dr Ste 200, Dalton, GA and can be reached out via phone at 706-226-9355 and via fax at 706-226-9380.

Location: 1107 Memorial Dr Ste 200, Dalton, GA, 30720-8662
person
Provider Profile Details
NPI Number
1043523897
Provider Name
Rod Lee Lewis
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1107 Memorial Dr Ste 200, Dalton, GA, 30720-8662
Phone Number
706-226-9355
Fax Number
706-226-9380
Provider Enumeration Date
07/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003104975C 05 GA
01644346 01 GA AMERIGROUP
P01156357 01 GA RR MEDICARE
801530 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
1107 Memorial Dr Ste 200
City
State
Zip
30720-8662
Phone Number
706-226-9355
Fax Number
706-226-9380
person
Provider Business Mailing Address Details
Address
1107 Memorial Dr Ste 200
City
State
Zip
30720-8662
Phone Number
706-226-9355
Fax Number
706-226-9380
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN068366 (Georgia)
Definition
Definition to come...
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