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NPI Code Detail

MEDICARE: GARRY LEWIS AUGUST MD

MEDICARE: GARRY LEWIS AUGUST MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism Physician18360GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659331668
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRY LEWIS AUGUST MD
Provider Business Mailing Address
First Line : 1519 13TH AVENUE
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1908
Country : US
Telephone Number : 706-322-4486
Fax Number : 706-322-4403
Provider Business Practice Location Address
First Line : 1519 13TH AVENUE
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1908
Country : US
Telephone Number : 706-322-4486
Fax Number : 706-322-4403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 05/03/2010

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