Individual
DR. ROY SHELDON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 FOUNTAIN PL, MOORESVILLE, NC 28117-0162
(704) 658-0595
(704) 658-0916
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 295-3468
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2011-01689
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117783401
—
TX
01
—
1216263
WELLCARE OF SC
SC
01
—
1699C
BCBSNC
NC
01
—
6239215
CIGNA
—
01
—
P01650118
MEDICARE-RAILROAD
NC
05
—
Q0168A
—
SC
Enumeration date
11/29/2005
Last updated
05/17/2024
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