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Mr. Kevin J Lewis, RT
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ellenwood, Georgia
NPI 1104193606

Kevin J Lewis is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Rex, GA. Kevin J Lewis practices in Ellenwood, GA and has the professional credentials of RT. The NPI Number for Kevin J Lewis is 1104193606 and holds a License No. (Georgia).

The current practice location address for Kevin J Lewis is 5434 Emily Cir, Ellenwood, GA and can be reached out via phone at 404-784-8792 and via fax at 678-422-3857.

Location: 5434 Emily Cir, Ellenwood, GA, 30273-0887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104193606
Provider Name
Kevin J Lewis
Credential
RT
Provider Entity Type
Individual
Gender
Male
Address
5434 Emily Cir, Ellenwood, GA, 30273-0887
Phone Number
404-784-8792
Fax Number
678-422-3857
Provider Enumeration Date
11/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5434 Emily Cir
City
Ellenwood
State
Georgia
Zip
30294-4326
Phone Number
404-784-8792
Fax Number
678-422-3857
person
Provider Business Mailing Address Details
Address
5434 Emily Cir
City
Ellenwood
State
Georgia
Zip
30294-4326
Phone Number
404-784-8792
Fax Number
678-422-3857
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
()
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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