| M. Keith Lewis, M.d. | |
|
292 Industrial Blvd Ste. 102 Hawkinsville GA 31036-8002 | |
| (478) 783-2297 | |
| (478) 783-2296 |
| Full Name | M. Keith Lewis, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 292 Industrial Blvd, Hawkinsville, Georgia |
| Authorized Official Name and Position | Myron Keith Lewis (OWNER) |
| Authorized Official Contact | 4787832297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Keith Lewis, M.d. 292 Industrial Blvd Ste. 102 Hawkinsville GA 31036-8002 Ph: (478) 783-2297 | M. Keith Lewis, M.d. 292 Industrial Blvd Ste. 102 Hawkinsville GA 31036-8002 Ph: (478) 783-2297 |
| NPI Number | 1437349487 |
|---|---|
| Provider Enumeration Date | 07/26/2007 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437349487 | NPI | - | NPPES |
| GRP7011 | Other | GA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 018922 (Georgia) | Primary |
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