Organization
WOMAN'S CLINIC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD LEWIS MD (MD)
(731) 422-4642
Entity
Organization
Contact information
Practice address
242 COATSLAND, JACKSON, TN 38301
(731) 422-4642
Mailing address
242 COATSLAND, JACKSON, TN 38301
(731) 422-4642
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD0000005534
TN
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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