Tara Clare Lewis, MD
Emergency Medicine in Jackson, MS. Individual provider (NPI-1).
NPI number1982135349
StatusActive
Last updated in NPPESAug 11, 2020
Details
- NPI
- 1982135349
- Entity type
- Individual (NPI-1)
- Name
- Tara Clare Lewis
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2017
- Certification date
- Aug 11, 2020
- Last updated
- Aug 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 26820 | MS | Yes |
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-5582
Mailing address
2500 N State StJackson, MS 39216-4500
Phone 601-984-5582
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All 208 Emergency Medicine Physician providers in Jackson · All 8,702 providers in Jackson
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