NPI 1043418973

George Michael Lewis, PHARMD

Practitioner Pharmacist Brunswick, GA

Practice location

Address: 5711 Altama Ave STE J, Brunswick, GA 31525-2200
Phone: (912) 264-2622
Fax: (912) 264-1392
Mailing address: 212 McIntosh Ave, Saint Simons Island, GA 31522-1867

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH023638 (GA)

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Registry record

NPI: 1043418973
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.