Individual
LEWIS CHRISTOPHER STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 N 5TH ST, CORDELE, GA 31015
(229) 271-4645
(229) 271-4646
Mailing address
910 N 5TH ST, CORDELE, GA 31015
(229) 271-4645
(229) 271-4646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000506151D
—
GA
05
—
000506151E
—
GA
05
—
000506151F
—
GA
Enumeration date
08/10/2006
Last updated
01/07/2009
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