Organization
LEWIS MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL LEWIS (OWNER)
(912) 826-4170
Entity
Organization
Contact information
Practice address
108 KATIE DR, RINCON, GA 31326-5708
(912) 826-4170
(912) 826-3595
Mailing address
108 KATIE DR, RINCON, GA 31326-5708
(912) 826-4170
(912) 826-3595
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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