Organization
A. EVAN LEWIS PHD MD PC
Active
Organization
A. EVAN LEWIS PHD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
A EVAN LEWIS MD (OWNER)
(423) 392-5020
Entity
Organization
Contact information
Practice address
1936 BROOKSIDE DR STE D, KINGSPORT, TN 37660-4654
(423) 392-5020
(423) 392-5100
Mailing address
1936 BROOKSIDE DR STE D, KINGSPORT, TN 37660-4654
(423) 392-5020
(423) 392-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024434
TN
Other
Enumeration date
03/05/2008
Last updated
04/15/2008
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