IndividualActive
Glen Lew, MD
NPI 1295799161 · Pediatric Hematology & Oncology Physician · Atlanta, GA
Provider details
- NPI number
- 1295799161
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 41457 (GA)
Practice location
5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283
Phone: (404) 785-1112
Fax: (404) 785-3600
Mailing address
5461 Meridian Mark Rd Ste 400
Atlanta, GA 30342-3283
Registry dates
- Enumerated
- 2006-04-17
- Last updated
- 2022-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.