# M. KEITH LEWIS, M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437349487
- **Authorized official:** DR. MYRON KEITH LEWIS M.D. (OWNER)
- **Authorized official phone:** (478) 783-2297

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 018922 | GA | Yes |

## Other

- **Enumeration date:** 07/26/2007
- **Last updated:** 07/26/2007