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Individual

DR. MYRON KEITH LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
292 INDUSTRIAL BLVD., SUITE 102, HAWKINSVILLE, GA 31036
(478) 783-2297
(478) 783-2296
Mailing address
292 INDUSTRIAL BLVD., SUITE 102, HAWKINSVILLE, GA 31036
(478) 783-2297
(478) 783-2296

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018922
GA

Other

Enumeration date
10/04/2006
Last updated
07/08/2007
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