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NPI Code Detail

MEDICARE: DR. RACHEL OWUSU-LEWIS DO

MEDICARE: DR. RACHEL OWUSU-LEWIS DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician97044GA

General Provider Information

NPI Number : 1972166338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL OWUSU-LEWIS DO
Provider Business Mailing Address
First Line : 3333 RIVERWOOD PKWY SE STE 250
Second Line :
City : ATLANTA
State : GA
Zip : 30339-3304
Country : US
Telephone Number : 770-914-0116
Fax Number : 770-955-4278
Provider Business Practice Location Address
First Line : 3758 HIGHWAY 42 S
Second Line :
City : LOCUST GROVE
State : GA
Zip : 30248-3653
Country : US
Telephone Number : 678-561-9430
Fax Number : 770-914-1070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2019
Last Update Date : 11/05/2025

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