Organization
ECKERD CONNECTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHATIQUA LEWIS (RN)
(910) 975-5896
Entity
Organization
Contact information
Practice address
500 E KU SU MEE RD, CANDOR, NC 27229-9058
(910) 974-4183
(910) 974-7310
Mailing address
500 E KU SU MEE RD, CANDOR, NC 27229-9058
(910) 974-4183
(910) 974-7310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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