DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEMETRIUS VINDE LEWIS

Active Sole Proprietor

DEMETRIUS VINDE LEWIS is a 376G00000X healthcare provider located in COLUMBUS, Georgia. NPI 1295093086 is currently active in the NPPES registry. Verify at CMS.

376G00000X · COLUMBUS, GA

Registration Details

NPI Number
1295093086
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2012 (14.327074403542 yrs)
Last Updated
Apr 30, 2012
Licenses
LPN052272 (GA)
NIIA005224 (GA)
Sole Proprietor
Yes

Practice Information

Address
1314 PAGODA DR
COLUMBUS, GA, 319074439
Browse GA providers · Browse ZIP 31907
Phone
7065938727
Primary Specialty
376G00000X
376G00000X
Additional Specialty
376G00000X

Other 376G00000X Providers in COLUMBUS, GA

Name Credential NPI
SANDY WILLIAMS 1104255421
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.