Individual
MR. LEWIS FREDERICK SCHEICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
23 MDG, MOODY A F B, GA 31699-0001
(229) 257-1110
Mailing address
1503 E PARK AVE, APT. R-4, VALDOSTA, GA 31602-5300
(269) 589-7212
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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