Individual
TORRANCE R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
57391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057391
MEDICAL LICENSE
GA
01
—
3612022737
MEDICAL LICENSE
IL
01
—
37420
MEDICAL LICENSE
TN
01
—
4312509
BCBS TN
TN
Enumeration date
05/19/2006
Last updated
09/08/2021
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