Lewis, Samuel Watson

Lewis, Samuel Watson is an individual health care provider with primary practice located at 1689 Old Pendergrass Rd Ste 300 , Jefferson GA 30549-2716. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Lewis, Samuel Watson can be contacted via phone (706) 387-0212.

Contact Information

Primary practice address
1689 Old Pendergrass Rd Ste 300 Jefferson GA 30549-2716
Phone: (706) 387-0212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT003580 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT016070 Georgia

Profile Details

NPI number 1497216600
LBN Legal business name Lewis, Samuel Watson
Credentials ATC, PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2019
Last updated Jul 17th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497216600 NPPES
Other 15680192 CAQH NUMBER

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