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Individual

DR. EVAN MICHAEL LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
147 REINHARDT COLLEGE PKWY STE 10, CANTON, GA 30114-5295
(470) 274-7763
(770) 213-4152
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(770) 716-8732
(770) 487-1204

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
788
TN
213E00000X
Podiatrist
Primary
POD001344
GA

Other

Enumeration date
07/01/2013
Last updated
04/12/2019
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