Individual
DR. SHELLY M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 19TH ST STE 401, KNOXVILLE, TN 37916-1831
(865) 331-2020
(865) 331-1976
Mailing address
1928 ALCOA HWY STE 118, KNOXVILLE, TN 37920-1540
(865) 305-9306
(865) 305-6822
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60825921
WA
390200000X
Student in an Organized Health Care Education/Training Program
626001636
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q064033
—
TN
Enumeration date
05/15/2014
Last updated
12/13/2022
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