A. Evan Lewis Phd Md Pc

NPI 1093985004 - Internal Medicine - 207R00000X

NPI Details
NPI 1093985004
Enumeration Date 03/05/2008
Last Updated 04/15/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name A EVAN A
Position OWNER
Phone (423) 392-5020
Fax (423) 392-5100
Practice Location
1936 BROOKSIDE DR STE D
KINGSPORT TN, 37660-4654, US
Phone (423) 392-5020
Fax (423) 392-5100
Business Location
1936 BROOKSIDE DR STE D
KINGSPORT TN, 37660-4654, US
Phone (423) 392-5020
Fax (423) 392-5100
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 024434
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According to our database, A. Evan Lewis Phd Md Pc NPI is 1093985004, taxonomy code is 207R00000X and license number is 024434, license state is located at Tennessee. A. Evan Lewis Phd Md Pc physically located at 1936 Brookside Dr Ste D, Kingsport TN, 37660-4654. NPI Number 1033115704 has the healthcare provider type.

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1093985004 NPI number is provided on an as is basis without warranty of any kind. 1093985004 is maintained by the National Plan & Provider Enumeration System. The contents of A. Evan Lewis Phd Md Pc are for informational purposes only.