Individual
LEWIS PAUL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1803 FOREST HILLS ROAD, WILSON, NC 27893
(252) 243-9629
(252) 243-0915
Mailing address
PO BOX 3148, 1803 FOREST HILLS ROAD, WILSON, NC 27895-3148
(252) 243-9629
(252) 243-0915
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
200500357
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
200500357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S9D1142
—
NC
Enumeration date
03/21/2006
Last updated
09/25/2013
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