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Individual

STEPHEN M LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
100 GROSS CRESCENT CIR, FT OGLETHORPE, GA 30742-3643
(706) 858-2000
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(800) 577-7707
(865) 769-3476

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
002733
GA

Other

Enumeration date
09/21/2006
Last updated
07/08/2007
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