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Individual

EDWARD ALAN LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 N JUSTICE ST, HENDERSONVILLE, NC 28791-3410
(828) 694-4548
(828) 694-4547
Mailing address
PO BOX 254, SKYLAND, NC 28776-0254
(828) 708-9876
(828) 687-7858

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200300171
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200300171
NC
208VP0014X
Interventional Pain Medicine Physician
200300171
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
133WG
BCBS NC
NC
01
2012771E
MEDICARE PTAN
NC
05
89013KE
NC
05
89133WG
NC
01
P00946479
RR MEDICARE
NC
Enumeration date
07/26/2006
Last updated
04/07/2021
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