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Individual

DR. ANTHONY EVAN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-3628
(423) 230-8502
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101249890
VA
207R00000X
Internal Medicine Physician
Primary
24434
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510062
TN
05
1912923442
NC
05
1912923442
VA
05
7100109560
KY
05
Q002676
TN
Enumeration date
07/15/2006
Last updated
03/27/2015
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