Individual
JAMES MYLES LEWIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
504 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 228-0064
(229) 228-5575
Mailing address
504 GORDON AVE, THOMASVILLE, GA 31792-6646
(229) 228-0064
(229) 228-5575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8615
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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