Lewis, Adam D

Lewis, Adam D is an individual health care provider with primary practice located at 2415 Parkwood Dr , Brunswick GA 31520-4722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Lewis, Adam D can be contacted via phone (919) 477-5152.

Contact Information

Primary practice address
2415 Parkwood Dr Brunswick GA 31520-4722
Phone: (919) 477-5152
Fax: (919) 477-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 054586 Georgia
Other Service Providers / Specialist 174400000X 054586 Georgia

Profile Details

NPI number 1912972043
LBN Legal business name Lewis, Adam D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated May 27th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912972043 NPPES
Georgia MEDICAID 130862775C
Georgia MEDICAID 130862775D
Georgia Other 01064795

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