Individual
ERIC LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1255 E COUNTY LINE RD APT D6, JACKSON, MS 39211-1823
(601) 201-9588
Mailing address
1255 E COUNTY LINE RD APT D6, JACKSON, MS 39211-1823
(601) 201-9588
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
110202043
MS
Other
Enumeration date
12/13/2021
Last updated
09/11/2025
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