Organization
COLUMBUS SHOULDER SURGERY & SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GORDON LEWIS MD (OWNER)
(706) 596-8844
Entity
Organization
Contact information
Practice address
2045 CENTRE STONE CT, STE A, COLUMBUS, GA 31904-4561
(706) 596-8844
(844) 274-2477
Mailing address
2045 CENTRE STONE CT, STE A, COLUMBUS, GA 31904-4561
(706) 596-8844
(844) 274-2477
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
053576
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
053576
GA
Other
Enumeration date
10/20/2015
Last updated
11/10/2015
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