Individual
DR. CHANCE CHARLES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA 30046-3370
(336) 716-6410
Mailing address
631 PROFESSIONAL DR STE 350, LAWRENCEVILLE, GA 30046-3370
(336) 716-6410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227154
NC
207RP1001X
Pulmonary Disease Physician
Primary
95546
GA
Other
Enumeration date
04/01/2017
Last updated
05/23/2023
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