Organization
RICHARD J. LEWIS, D.O., P.C.
Active
Other names
Peachtree Obstetrics and Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOHN LEWIS DO (DO)
(912) 427-2643
Entity
Organization
Contact information
Practice address
166 MEMORIAL DR, JESUP, GA 31545-0101
(912) 427-2643
(912) 427-2644
Mailing address
PO BOX 1113, JESUP, GA 31598-1113
(912) 427-2643
(912) 427-2644
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
63368
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293211408A
—
GA
Enumeration date
11/10/2009
Last updated
06/10/2010
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