Individual
MR. GILBERT LEE LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
127 TELFAIR ST, AUGUSTA, GA 30901-2590
(706) 922-0600
(706) 922-0604
Mailing address
127 TELFAIR ST, AUGUSTA, GA 30901-2590
(706) 922-0600
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10024
GA
Other
Enumeration date
10/07/2020
Last updated
11/05/2020
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