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Individual

DR. GRANT CARLTON LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 CANDLER DR, SUITE 300, SAVANNAH, GA 31405-6023
(912) 354-6187
(912) 355-0596
Mailing address
5400 SUTLIVE ST, SAVANNAH, GA 31405-4721
(912) 354-6187
(912) 355-9807

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
057719
GA
207RH0003X
Hematology & Oncology Physician
31546
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
315466
SC
05
513511389B
GA
05
513511389C
GA
05
513511389D
GA
Enumeration date
11/15/2006
Last updated
07/30/2018
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