Doctor Name: | DR. HENRY JOSEPH LEWIS |
NPI Number: | 1326057621 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 049052 |
Business Practice Address: | 1990 Limestone Cir Ste 100 Gainesville, GA - 305017445 |
Business Phone Number: | 7702972884 |
Business Fax Number: | 7702972784 |
Mailing Address: | 1990 Limestone Cir Ste 100, GAINESVILLE |
State: | GA |
Postal Code: | 305017445 |
Phone Number: | 7702972884 |
Fax Number: | 7702972784 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 049052 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |