OrganizationActive
Michael R. Lewis, MD, PA
NPI 1679724785 · Medical Specialty Clinic/Center · Gulfport, MS
Provider details
- NPI number
- 1679724785
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Lewis, President(228) 865-7890
- License
- 13326 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4500 Old Pass Rd
Gulfport, MS 39501-2585
Phone: (228) 865-7890
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Old Pass Rd
Gulfport, MS 39501-2585
Registry dates
- Enumerated
- 2008-10-07
- Last updated
- 2010-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.