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MR. CLIFFORD D. LEWIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1061 HARMON AVE, STE 1003, FORT STEWART, GA 31314-5604
(912) 435-6965
Mailing address
5556 SARATOGA DR, COLUMBUS, GA 31907-7405
(706) 689-7809

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003825
GA

Other

Enumeration date
06/01/2005
Last updated
07/08/2007
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