Type 1 individualNPI 1003392259
SHANELLE LEWIS
246RP1900X · DECATUR, GA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 246RP1900X | 246RP1900X | Primary |
| 246QL0900X | 246QL0900X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s