Provider Demographics
NPI:1518176924
Name:LEWIS, SHERRI LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:LYNN
Last Name:LEWIS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1300 CONSTITUTION RD SE
Mailing Address - Street 2:METRO STATE PRISON
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-4604
Mailing Address - Country:US
Mailing Address - Phone:404-624-2292
Mailing Address - Fax:404-624-2268
Practice Address - Street 1:1300 CONSTITUTION RD SE
Practice Address - Street 2:METRO STATE PRISON
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-4604
Practice Address - Country:US
Practice Address - Phone:404-624-2292
Practice Address - Fax:404-624-2268
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA050402207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine