Lewis Medical Supply LLC

NPI #1619165263 in Rincon, Georgia

Provider Information

NPI Number
1619165263
Entity Type
Organization
Organization Name
Lewis Medical Supply LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Oct 9, 2007
Last Updated
Oct 9, 2007

Practice Location

Address
108 KATIE DR
City
Rincon
State
Georgia
ZIP Code
31326-5708
Phone
(912) 826-4170

Authorized Official

Name
MR. RUSSELL LEWIS
Title
OWNER
Phone
(912) 826-4170

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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