Provider Demographics
NPI:1669412904
Name:LEWIS, JAMES L III (MD)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:L
Last Name:LEWIS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:817 PRINCETON AVE SW
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211
Mailing Address - Country:US
Mailing Address - Phone:205-226-5911
Mailing Address - Fax:205-226-5937
Practice Address - Street 1:817 PRINCETON AVE SW
Practice Address - Street 2:SUITE 210
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211
Practice Address - Country:US
Practice Address - Phone:205-226-5911
Practice Address - Fax:205-226-5937
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2018-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL13798207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALLE000007743Medicaid
ALLE000007743Medicaid
AL000007743Medicare PIN