Individual
DR. HENRY JOSEPH LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5606 CAPTAINS CT, GAINESVILLE, GA 30504
(770) 654-3400
Mailing address
5606 CAPTAINS CT, GAINESVILLE, GA 30504-8197
(770) 654-3400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000875531B
—
GA
01
—
P00146315
RAILROAD MEDICARE
GA
Enumeration date
08/05/2006
Last updated
12/08/2021
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