Provider Demographics
NPI:1326115379
Name:REWIS, JAMES C (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:REWIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT ROAD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-9775
Mailing Address - Country:US
Mailing Address - Phone:404-364-7000
Mailing Address - Fax:404-364-4732
Practice Address - Street 1:DEPARTMENT OF OBSTETRICS & GYNECOLOGY
Practice Address - Street 2:2525 CUMBERLAND PARKWAY
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339
Practice Address - Country:US
Practice Address - Phone:770-431-4268
Practice Address - Fax:770-431-4227
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA028870207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
16BDVGKMedicare ID - Type Unspecified
E04310Medicare UPIN