Provider Demographics
NPI:1538226451
Name:LEWIS, JANET D (DC)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:D
Last Name:LEWIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:D
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2697 SANDY PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4256
Mailing Address - Country:US
Mailing Address - Phone:770-971-1355
Mailing Address - Fax:770-509-8559
Practice Address - Street 1:2697 SANDY PLAINS RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4256
Practice Address - Country:US
Practice Address - Phone:770-971-1355
Practice Address - Fax:770-509-8559
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA58-2416666Medicare UPIN