Individual
DR. EDWARD THOMAS LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 DOUGHTY ST, MSC #861, CHARLESTON, SC 29425
(843) 792-0192
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL34790
SC
Other
Enumeration date
06/07/2012
Last updated
06/21/2018
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