Individual
JEFFERY DUN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
993D JOHNSON FERRY RD, STE 440, ATLANTA, GA 30342
(404) 257-0799
(404) 503-2280
Mailing address
993D JOHNSON FERRY RD, STE 440, ATLANTA, GA 30342
(404) 257-0799
(404) 503-2280
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
041873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000709497H
—
GA
01
—
080685
BLUE CHOICE FAC INS
—
01
—
1422312
UNITED HEALTH CARE
—
01
—
1789
KAISER
—
01
—
2134940
AETNA HMO POS
—
01
—
52508068010
BLUE CHOICE PROVIDER IDS
—
01
—
5433953006
CIGNA
—
01
—
5757428
AETNA MC PPO
—
Enumeration date
03/24/2006
Last updated
03/15/2012
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