Individual
DR. KRISTINA HENDERSON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH SM
Contact information
Practice address
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 713-3234
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
068449
GA
207R00000X
Internal Medicine Physician
2015-01409
NC
207R00000X
Internal Medicine Physician
L-232046
MA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
2015-01409
NC
Other
Enumeration date
06/15/2007
Last updated
09/16/2015
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