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Individual

MR. JEFFREY THOMAS LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7680 DANNAHER DR., POWELL, TN 37849-4052
(865) 521-8050
(865) 544-5816
Mailing address
7121 REGAL LN SUITE 200A, KNOXVILLE, TN 37918-5804
(865) 521-8050
(865) 544-5816

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA064392
PA
363A00000X
Physician Assistant
Primary
PA6077
TN

Other

Enumeration date
02/27/2023
Last updated
07/25/2024
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