Doctor Name: | TILINA LEWIS |
NPI Number: | 1215211479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNA, PCT |
License Number: | HO003808 |
Business Practice Address: | 2497 Bermuda Dr Loganville, GA - 300524395 |
Business Phone Number: | 6785218849 |
Business Fax Number: | |
Mailing Address: | 2497 Bermuda Dr, LOGANVILLE |
State: | GA |
Postal Code: | 300524395 |
Phone Number: | 6785218849 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2011 |
NPI Last Update Date: | 10/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | HO003808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |