Individual
DR. CHARLES J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4366 LOG CABIN DR, MACON, GA 31204-5604
(478) 471-6060
(478) 476-8009
Mailing address
4366 LOG CABIN DR, MACON, GA 31204-5604
(478) 471-6060
(478) 476-8009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6769
GA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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