Individual
RONALD C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1439 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501-3806
(770) 219-9200
Mailing address
1439 JESSE JEWELL PKWY NE STE 302, GAINESVILLE, GA 30501-3806
(770) 219-9200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
050109
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000906474A
—
GA
Enumeration date
05/27/2005
Last updated
10/07/2020
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