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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

BRANDI LEWIS, MD
1180 ERNEST W BARRETT PKWY NW STE 102B
KENNESAW, GA30144
 Phone: 678-354-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BRANDI LEWIS · (Female)

NPI Number 1003010976
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2007
Last updated 08/07/2019 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • AR License # E-10688
  • GA License # 76750
  • OH License # 35.094508
  • AR Medicaid 221871001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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