# RICHARD J. LEWIS, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peachtree Obstetrics and Gynecology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962739086
- **Authorized official:** RICHARD JOHN LEWIS DO (DO)
- **Authorized official phone:** (912) 427-2643

## Contact information

- **Practice address:** 166 MEMORIAL DR, JESUP, GA 31545-0101
- **Practice address phone:** (912) 427-2643
- **Practice address fax:** (912) 427-2644
- **Mailing address:** PO BOX 1113, JESUP, GA 31598-1113
- **Mailing address phone:** (912) 427-2643
- **Mailing address fax:** (912) 427-2644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 63368 | GA | Yes |

## Other

- **Enumeration date:** 11/10/2009
- **Last updated:** 06/10/2010