Individual
DR. MATTHEW LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
930 HICKMAN RD, APT. E, AUGUSTA, GA 30904-6721
(478) 461-2006
Mailing address
930 HICKMAN RD, APT. E, AUGUSTA, GA 30904-6721
(478) 461-2006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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