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1699744722
LARRY GLEN LEWIS
ATLANTA, GA
NPI
1699744722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: GA 052357)
Enumeration Date
2006-03-14
Last Update Date
2012-03-08
Business Address
-- LARRY GLEN LEWIS MD
993 D JOHNSON FERRY RD STE 440
ATLANTA, GA 30342
Phone number: 404-257-0799
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Mailing Address
-- LARRY GLEN LEWIS MD
993 D JOHNSON FERRY RD STE 440
ATLANTA, GA 30342
Phone number: 404-257-0799
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