M. Keith Lewis, M.D.

Organization Active NPI Family Medicine Physician · Hawkinsville, GA

NPI 1437349487 · NPPES record last updated Jul 26, 2007

Key facts

NPI
1437349487
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
018922 (GA)
Legal business name
M. KEITH LEWIS, M.D.
Practice address
292 Industrial Blvd
Ste. 102
Hawkinsville, GA 31036-8002
Phone
(478) 783-2297
Fax
(478) 783-2296
NPI assigned
Jul 26, 2007
Organization subpart
No

Authorized official

Name
Dr. Myron Keith Lewis, M.D.
Title
Owner
Phone
(478) 783-2297

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 018922 GA Yes

Addresses

Primary practice location

292 Industrial Blvd
Ste. 102
Hawkinsville, GA 31036-8002

Mailing address

292 Industrial Blvd
Ste. 102
Hawkinsville, GA 31036-8002
Phone (478) 783-2297

Other identifiers

IdentifierTypeStateIssuer
GRP7011OtherGAMEDICARE GROUP NUMBER

Other providers in Hawkinsville, GA

All providers in Hawkinsville, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.