Organization
WARRENTON FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVETTE RENEE DOUGLAS-LEWIS M.D. (PHYSICIAN MEMBER)
(252) 257-0372
Entity
Organization
Contact information
Practice address
163 CHRISTMAS RD, WARRENTON, NC 27589-8723
(252) 257-0372
Mailing address
163 CHRISTMAS RD, WARRENTON, NC 27589-8723
(252) 257-0372
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
137051
NC
Other
Enumeration date
04/24/2007
Last updated
10/29/2013
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