Provider Demographics
NPI:1558587188
Name:LEWINTER, MARK AARON (DACM, LAC)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:AARON
Last Name:LEWINTER
Suffix:
Gender:M
Credentials:DACM, LAC
Other - Prefix:
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Mailing Address - Street 1:6255 BARFIELD RD NE
Mailing Address - Street 2:STE 175
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4319
Mailing Address - Country:US
Mailing Address - Phone:404-255-8388
Mailing Address - Fax:404-255-1831
Practice Address - Street 1:6255 BARFIELD RD NE
Practice Address - Street 2:STE 175
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4319
Practice Address - Country:US
Practice Address - Phone:404-255-8388
Practice Address - Fax:404-255-1831
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA39171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist