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Individual

CHELSEA L LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
2311 DELANEY AVE, WILMINGTON, NC 28403-6012
(910) 762-8754
(910) 762-3291

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10636
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1047900
WELLCARE OF SC
SC
01
183G3
BCBSNC
NC
01
3004675
CIGNA
NC
01
30159560
SELECT HEALTH OF SC
SC
01
7010959
AETNA
NC
01
P01287958
RAILROAD MEDICARE
NC
01
Q513925874
MEDICARE
NC
05
SAN110
SC
Enumeration date
06/26/2013
Last updated
07/26/2018
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