Individual
JAMES STUART LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 763-3255
(304) 763-3255
Mailing address
PO BOX 1460, BEAVER, WV 25813-1460
(304) 763-3255
(304) 763-3255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13546
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000477603
MT.STATE BCBS
WV
05
—
0084660000
—
WV
01
—
3001543
BWC
WV
05
—
4401035
—
TN
01
—
P00274410
RR-MEDICARE
KY
Enumeration date
07/27/2006
Last updated
04/22/2009
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