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Individual

GARRY LEWIS AUGUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1519 13TH AVENUE, COLUMBUS, GA 31901-1908
(706) 322-4486
(706) 322-4403
Mailing address
1519 13TH AVENUE, COLUMBUS, GA 31901-1908
(706) 322-4486
(706) 322-4403

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
18360
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00137508D
GA
Enumeration date
03/24/2006
Last updated
05/03/2010
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