Individual
GREGORY J S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
7600 WOLF RIVER BLVD, STE 200, GERMANTOWN, TN 38138
(901) 747-1000
(901) 747-1001
Mailing address
P.O. BOX 5083, MEMPHIS, TN 38101
(901) 747-1000
(901) 747-1001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57395
TN
2085R0202X
Diagnostic Radiology Physician
R3815
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119452001
—
AR
Enumeration date
10/03/2005
Last updated
05/31/2018
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