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MR. RUSSELL A LEWIS RN 1417955592

Overview
Name: MR. RUSSELL A LEWIS RN Specialty: Contractor Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Other Service Providers Classification: Contractor Specialization: . Definition of Specialty: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
License & NPI
License #(s): 2090, , , , License State(s): GA, , , ,
Addresses
Practice Location: 108 KATIE DR,RINCON,GA,313265708,US Mailing Address: 108 KATIE DR,RINCON,GA,313265708,US
Contact #
Practice location phone #: 9128264170 Practice location fax #: 9128263595 Mailing address Phone #: 9128264170 Mailing Address fax #: 9128263595 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 07/12/2005 Last data data was updated: 07/09/2007 Insurances:

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