Kelly Brook Lewis MD

NPI 1750510400 - Emergency Medicine - 207P00000X

NPI Details
NPI 1750510400
Gender Female
Enumeration Date 07/02/2009
Last Updated 07/02/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3 MEDICAL PARK - STE 350
EMERGENCY MEDICINE DEPT
COLUMBIA SC, 29203, US
Phone (803) 434-3790
Fax (803) 434-3946
Business Location
3 MEDICAL PARK - STE 350
EMERGENCY MEDICINE DEPT
COLUMBIA SC, 29203, US
Phone (803) 434-3790
Fax (803) 434-3946
Toxanomy
Taxonomy Code 207P00000X
License State South Carolina
License Number LL32025
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According to our database, Kelly Brook Lewis MD NPI is 1750510400, taxonomy code is 207P00000X and license number is LL32025, license state is located at South Carolina. Kelly Brook Lewis MD physically located at 3 Medical Park - Ste 350, Columbia SC, 29203. NPI Number Kelly Brook Lewis MD has the Individual type.

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1750510400 NPI number is provided on an as is basis without warranty of any kind. 1750510400 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Brook Lewis MD are for informational purposes only.