Individual
DANIEL LEWIS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10479 N NC HIGHWAY 109 STE 107A, WINSTON SALEM, NC 27107-9884
(336) 769-0246
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 769-0246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1079066
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2012
Last updated
10/27/2020
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