Individual
DR. RODGER P LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 885-9231
(731) 884-1967
Mailing address
1201 BISHOP ST, UNION CITY, TN 38261-5403
(731) 885-9231
(731) 884-1967
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000007577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005923 & 104944
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
11/16/2006
Last updated
07/09/2007
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