Individual
DENISE MICHELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2946
(803) 751-0473
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2946
(803) 751-0473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1125496
TX
363A00000X
Physician Assistant
C0008439
MD
Other
Enumeration date
03/26/2015
Last updated
03/04/2025
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