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Organization

M. KEITH LEWIS, M.D.

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Organization

M. KEITH LEWIS, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MYRON KEITH LEWIS M.D. (OWNER)
(478) 783-2297
Entity
Organization

Contact information

Practice address
292 INDUSTRIAL BLVD, STE. 102, HAWKINSVILLE, GA 31036-8002
(478) 783-2297
(478) 783-2296
Mailing address
292 INDUSTRIAL BLVD, STE. 102, HAWKINSVILLE, GA 31036-8002
(478) 783-2297
(478) 783-2296

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018922
GA

Other

Enumeration date
07/26/2007
Last updated
07/26/2007
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