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Individual

GREGORY LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2401 BUENA VISTA RD, COLUMBUS, GA 31906-3142
(706) 323-7244
Mailing address
2401 BUENA VISTA RD, COLUMBUS, GA 31906-3142

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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