Individual
DR. JOHN WILLIAM LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 LEVEE STREET, ROSEDALE, MS 38769-0310
(662) 759-6806
(662) 759-6771
Mailing address
512 LEVEE STREET, P. O. BOX 310, ROSEDALE, MS 38769-0310
(662) 759-3728
(662) 759-6771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09592
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013560
—
MS
Enumeration date
07/26/2006
Last updated
04/29/2008
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