Individual
HALLYE M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
539C HWY 80 WEST, CLINTON, MS 39056-4500
(601) 362-8776
(601) 924-0988
Mailing address
1867 CRANE RIDGE DR STE 101B, JACKSON, MS 39216-4956
(601) 362-8776
(601) 709-8501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33425
MS
Other
Enumeration date
04/01/2021
Last updated
06/21/2024
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