Individual
MR. DAVID WILTON LEWIS SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
1016 GRISSOM FARM RD, GARNER, NC 27529-7000
(919) 661-1798
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
102861
NC
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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