Kanya Montavius Lewis

NPI #1184366817 in Chamblee, Georgia

Provider Information

NPI Number
1184366817
Entity Type
Individual
Name
Kanya Montavius Lewis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Enumeration Date
Apr 12, 2022
Last Updated
Apr 12, 2022

Practice Location

Address
5440 PEACHTREE BLVD
State
Georgia
ZIP Code
30341-2255
Phone
(229) 338-9491

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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Organizations

Provider Name
Gcsu Athletic Training

Part of Georgia College & State University

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