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Individual

BARRY J LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C 188832

Contact information

Practice address
12 COOSA MEADOW DR, BLAIRSVILLE, GA 30512-5752
(706) 835-1845
Mailing address
12 COOSA MEADOW DR, BLAIRSVILLE, GA 30512-5752
(706) 835-1845

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PMD001350
FL

Other

Enumeration date
10/01/2018
Last updated
10/01/2018
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