Individual provider · Type 1 NPI

Candace Lewis, PA-C

Medical Physician Assistant · Locust Grove, GA

NPI number 1912319781 Active

Practice location

3334 Highway 155
Locust Grove, GA 30248-3513

Fax (770) 305-7969

Mailing address

1058 Bear Creek Blvd
Hampton, GA 30228-1849

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X7062 (GA)
Medical Physician Assistant Primary 363AM0700X007062 (GA)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1912319781

Candace Lewis, PA-C's National Provider Identifier is 1912319781, issued on May 28, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Locust Grove, GA. The record was last updated on May 16, 2019.