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RICHARD J. LEWIS D.O. P.C. NPI 1962739086


NPI Information

NPI: 1962739086
Provider Name: RICHARD J. LEWIS, D.O., P.C.

Doing Business As: PEACHTREE OBSTETRICS AND GYNECOLOGY

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
166 MEMORIAL DR
JESUP, GA
ZIP 31545
Phone: (912) 427-2643
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RICHARD J. LEWIS, D.O., P.C. is an obstetrics gynecology in Jesup, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. RICHARD J. LEWIS, D.O., P.C. NPI is 1962739086. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peachtree Obstetrics And Gynecology.

The provider's business location address is:

166 MEMORIAL DR
JESUP, GA
ZIP 31545-101
Phone: (912) 427-2643
Fax: (912) 427-2644

The provider's authorized official is Richard John Lewis .
The authorized official title is Do and has the following contact phone number (912) 427-2643.

The enumeration date for this NPI number is 11/10/2009 and was last updated on 6/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology63368GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202G701660MEDICARE PINGEORGIA
2293211408AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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