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Individual

CHRISTOPHER L LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2859 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 660-8360
(731) 660-8377
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD34787
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080194236
RAILROAD MEDICARE
TN
01
14826
UNISON
TN
05
3869185
TN
01
4046464
BLUE CROSS BLUE SHIELD
TN
Enumeration date
03/09/2006
Last updated
06/08/2016
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