Organization
RODGER P LEWIS M D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FRANKIE J THOMAS (OFFICE MANAGER)
(731) 885-9231
Entity
Organization
Contact information
Practice address
1201 BISHOP ST, UNION CITY, TN 38261
(731) 885-9231
(731) 885-6318
Mailing address
PO BOX 870, UNION CITY, TN 38281
(731) 885-9231
(731) 885-6318
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD000007577
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD000007577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104944
BLUE CROSS
TN
01
—
2005923
BLUE CROSS
TN
01
—
36949
TLC
TN
01
—
6122
TLC
TN
Enumeration date
10/12/2006
Last updated
07/30/2010
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