Larry Glen Lewis
MD | Pediatric Gastroenterology | Male
Larry Glen Lewis, MD is a Atlanta, Georgia based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Larry Glen Lewis is
993 D Johnson Ferry Rd, Ste 440, Atlanta, Georgia - 30342. He can be contacted on phone at
404-257-0799 and fax number 404-503-2280.
Larry Glen Lewis is a sole proprietor of his business.
NPI number (Unique professional ID) for Larry Glen Lewis is
1699744722 which was assigned by NPPES on 14 Mar, 2006 and it was last updated on 08 Mar, 2012.
Larry Glen Lewis license number is
052357 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Georgia.
Larry Glen Lewis specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Larry Glen Lewis basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Larry Glen Lewis |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Larry Glen Lewis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 993 D Johnson Ferry Rd, Ste 440
Atlanta, GA, 30342
United States |
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| Phone Number : | 404-257-0799 |
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| Fax Number : | 404-503-2280 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1699744722 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Mar, 2006 |
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| Last Updated On : | 08 Mar, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larry Glen Lewis are as mentioned. Primary taxonomy code for Larry Glen Lewis, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 052357 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Larry Glen Lewis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000709497H | Other | | MEDICAID PROVIDER NUMBER |
| 1422312 | Other | | UNITED HEALTH CARE |
| 1789 | Other | | KAISER |
| 2134940 | Other | | AETNA HMO POS |
| 080685 | Other | | BLUE CHOICE FAC INSURANCE |
| 52508068010 | Other | | BLUE CHOICE PROVIDER ID |
| 5433953006 | Other | | CIGNA |
| REF000087396 | Other | | MEDICAID REFERENCE PROVID |
| 5757428 | Other | | AETNA MC PPO PIN NUMBER |
| 000981901A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 993 D Johnson Ferry Rd, Ste 440
Atlanta, GA, 30342
United States |
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| Phone Number : | 404-257-0799 |
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| Fax Number : | 404-503-2280 |
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Business Location:
Patients can refer following map for directions to
Larry Glen Lewis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.