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Dr. Michael Ray Lewis, MD
Specialist in Gulfport, Mississippi
NPI 1568409878

Michael Ray Lewis is a Specialist based in Gulfport, MS. Michael Ray Lewis practices in Gulfport, MS and has the professional credentials of MD. The NPI Number for Michael Ray Lewis is 1568409878 and holds a License No. 13326 (Mississippi).

The current practice location address for Michael Ray Lewis is 4500 Old Pass Rd, Gulfport, MS and can be reached out via phone at 228-865-7890 and via fax at 228-868-7402. You can also correspond with Michael Ray Lewis through the mailing address at 4500 OLD PASS RD, GULFPORT, MS - 39501-2585 (mailing address contact number: 228-865-7890).

Location: 4500 Old Pass Rd, Gulfport, MS, 39501-2585
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Provider Profile Details
NPI Number
1568409878
Provider Name
Michael Ray Lewis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4500 Old Pass Rd, Gulfport, MS, 39501-2585
Phone Number
228-865-7890
Fax Number
228-868-7402
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060065909 01 MS MEDICARE SECONDARY PAYOR
00116618 05 MS
institution
Provider Business Practice Location Address Details
Address
4500 Old Pass Rd
City
State
Zip
39501-2585
Phone Number
228-865-7890
Fax Number
228-868-7402
person
Provider Business Mailing Address Details
Address
4500 Old Pass Rd
City
State
Zip
39501-2585
Phone Number
228-865-7890
Fax Number
228-868-7402
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
13326 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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