Individual
DR. LEWIS GILBERT HUMPHREYS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
102 MEDICAL DR, DOTHAN, AL 36303-6902
(334) 792-7888
(334) 792-8717
Mailing address
102 MEDICAL DR, DOTHAN, AL 36303-6902
(334) 792-7888
(334) 792-8717
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3595
AL
Other
Enumeration date
10/23/2006
Last updated
06/05/2009
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