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Michael R. Lewis, Md, Pa
Medical Specialty Clinic/Center in Gulfport, Mississippi
NPI 1679724785

Michael R. Lewis, Md, Pa is a Medical Specialty Clinic/Center based in Gulfport, MS and is specialized in Medical Specialty. Michael R. Lewis, Md, Pa practices in Gulfport, MS. The NPI Number for Michael R. Lewis, Md, Pa is 1679724785 and holds a License No. 13326 (Mississippi).

The current practice location address for Michael R. Lewis, Md, Pa is 4500 Old Pass Rd, Gulfport, MS and can be reached out via phone at 228-865-7890.

Location: 4500 Old Pass Rd, Gulfport, MS, 39501-2585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679724785
Provider Name
Michael R. Lewis, Md, Pa
Credential
Provider Entity Type
Organization
Address
4500 Old Pass Rd, Gulfport, MS, 39501-2585
Phone Number
228-865-7890
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1568409878 01 MS INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
4500 Old Pass Rd
City
Gulfport
State
Mississippi
Zip
39501-2585
Phone Number
228-865-7890
Fax Number
person
Provider Business Mailing Address Details
Address
4500 Old Pass Rd
City
Gulfport
State
Mississippi
Zip
39501-2585
Phone Number
228-865-7890
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
13326 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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