NPI 1134254758

Lewis Timothy Kola, DMIN

Practitioner Genetic Counselor (M.S.) Decatur, GA

Practice location

Address: 1814 Clairmont Rd, Decatur, GA 30033-3405
Phone: (404) 636-1457
Fax: (404) 636-7449

Registered specialties

Genetic Counselor (M.S.) Primary

Other Service Providers Taxonomy 170300000X Licence LPC003629 (GA)

Other Genetic Counselor, MS providers in Georgia →

Registry record

NPI: 1134254758
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.