Lewis, Jeffery Dun

Lewis, Jeffery Dun is an individual health care provider with primary practice located at 993D Johnson Ferry Rd Ste 440, Atlanta GA 30342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Lewis, Jeffery Dun can be contacted via phone (404) 257-0799.

Contact Information

Primary practice address
993D Johnson Ferry Rd Ste 440 Atlanta GA 30342
Phone: (404) 257-0799
Fax: (404) 503-2280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 041873 Georgia

Profile Details

NPI number 1063472967
LBN Legal business name Lewis, Jeffery Dun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Mar 15th, 2012 - about 12 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 1063472967 NPPES
Other 2134940 AETNA HMO POS
Other 1422312 AETNA HMO POS
MEDICAID 000709497H AETNA HMO POS
Other 52508068010 AETNA HMO POS
Other 5433953006 AETNA HMO POS
Other 5757428 AETNA HMO POS
Other 080685 AETNA HMO POS
Other 1789 AETNA HMO POS

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