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Individual

DR. DANIEL SCOTT LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
438 E VANN RD, SUITE 100, GREENEVILLE, TN 37743-7202
(423) 278-1650
(423) 787-0243
Mailing address
PO BOX 37087, BALTIMORE, MD 21297-3087
(828) 687-5616
(828) 650-8076

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43801
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
43801
TN
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
43801
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1507353
TN
05
5910234
NC
01
P00721555
RAIL ROAD MEDICARE
TN
Enumeration date
07/12/2006
Last updated
03/07/2023
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